CLPD Youth Supporter List
By signing this form you agree to be contacted by Campaign for Labour Party Democracy (CLPD) & CLPD Youth with updates about our organisation, our campaigns and consent to us further contacting you about how you can get involved, including whether you can help with a donation.

You can read the CLPD privacy policy here: https://docs.google.com/document/d/1wsZ9TMkGEh0ORucASxcV6svetz5sIinCsXw1-f5Rl3A/edit?usp=sharing 
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First Name *
Surname *
Phone number
Constituency Labour Party (CLP) *
Region
Are you the Youth Officer for your Ward/Branch or CLP?
Are you a member of a Labour Society at your college or university? *
Required
If so, which college or university are you studying at?
Do you hold any positions within your Labour society?
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Trade Union
DOB (dd/mm/yyyy) *
How can we contact you? *
Yes
No
Email
Phone
Text
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