Labour for a Republic - Supporters Survey
We would be grateful if you could fill out our supporters survey below. By completing this survey, you will be helping Labour for a Republic campaign effectively over the coming year.
Name *
Your answer
Email Address *
Your answer
What is your CLP? *
Your answer
What is your postcode? (This helps us identify your CLP if you do not know it) *
Your answer
Are you a: *
Are you a member of any of these affiliated and non-affiliated parties, campaigns and groups? *
Required
Are you a member of a Trade Union? Please state which one(s) below: *
Your answer
Do you hold any office in the Labour Party? *
Required
Would you be prepared to do any of the following? *
Required
How old are you? *
Disclaimer
Please note that Labour for a Republic may use the information that you provide. We will never pass this information onto a third party.
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