Become a Member of the CDP Fill in the online form below to submit your application today. For a paper based form download the PDF version here Membership Application Form 1 Personal Details2 Church and Political Details3 Membership and Donation Options Your Personal DetailsName* First Last Date of Birth* Marital Status*Please selectSingleMarriedSeparatedDivorcedWidowedPhone*Email* Enter Email Confirm Email Address*This address must be the street or postal address listed for you on the Australian Electoral Roll. If you have moved and not updated your address, please contact our office for advice on how to update your enrolled address with the AEC. Street Address Address Line 2 City State Post Code Postal Address* Same as previous Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Church InformationChurch Name*Church Suburb*Church Phone*Minister Name*Political InformationAre you a member of any other political party?*YesNoWhich party?*Are you enrolled to vote?*YesNoSupport* I support the National CDP Charter and Constitution Membership OptionsMembership Options*Single MembershipCouple MembershipChristian Dem YouthSingle ConcessionCouple ConcessionChristian MinisterJunior MembershipCorporate Membership**Excludes Property Developers, Alcohol, Tobacco and Gambling CorporatesSingle Membership Options*$10 Monthly$30 Quarterly$120 AnnuallyCouple Membership Options*$15 Monthly$45 Quarterly$180 AnnuallyChristian Youth Membership Options*$15 Quarterly$40 AnnuallySingle Concession Membership Options*$10 Quarterly$40 AnnuallyCouple Concession Membership Options*$15 Quarterly$60 AnnuallyChristian Minister Membership Options*$10 Quarterly$40 AnnuallyJunior Membership Options*$12 AnnuallyCorporate Membership Options*$5000 QuarterlyDonation Options (Optional)Donation TypePlease selectFederal CampaignGeneral DonationState/TerritoryPlease selectACTNSWNTQLDSATASVICWAFrequencyPlease selectOne-offMonthlyAnnuallyDonation Amount (AUD)$25$50$100$500$1000Other amountDonation Amount (AUD) I agree to the Donation Guidelines Any additional commentsPaymentTotal Amount (AUD) $ 0.00 Payment Options*Pay online by Credit CardPay over the phoneContact me with other payment optionsCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name Contact Phone Number*Please verify by entering the text in the image
