JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
GALBA Membership Application Form
You can see GALBA’s aims in our constitution at
https://www.galba.uk/about-us
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First name
*
Your answer
Second name
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Postal address
*
Your answer
Postcode
*
Your answer
What council ward do you live in?
*
Your answer
Do you support the aims of GALBA?
*
Yes
Required
I give my consent for GALBA to contact me via phone, email or post using the information I have provided in this form for the purpose of campaign information
*
Privacy policy available here
http://galba.uk/privacy-policy
Yes
Required
How can you help the campaign?
Donate money
Lobby councillors
Write to the press
Attend public meetings or protests
Leafleting
Use social media
Do you have knowledge or skills that you can share?
Legal/trade union links/marketing experience/party political links
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
