Join Westport Labour Party

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#FFFFFF" TEXT="#080000" background="04b785a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Councillor Keith Martin </B></FONT><B>    </B><B> |     </B><B>Join Westport Labour Party</B><FONT SIZE="1" COLOR="#000000" FACE="Symbol" ><B>   ·   </B></FONT><A HREF="volunteer.htm" TARGET="_top" TITLE="Become a Volunteer"><U>Become a Volunteer</U></A><FONT SIZE="1" COLOR="#000000" FACE="Symbol" ><B>   ·   </B></FONT><A HREF="donate.htm" TARGET="_top" TITLE="Make a donation"><U>Make a donation</U></A><B>     </B><FONT SIZE="1" COLOR="#000000" FACE="Arial Black" ><A HREF="join5b.htm" TARGET="_top" TITLE="Join Keith"><U><I><B><U>Back to Join Keith</U></B></I></U></A></FONT></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <IMG SRC="1cb4c5e0.jpg" border=0 width="76" height="94" ALT="Cllr Keith Martin of Westport Town Council, Westport, Mayo. www.votekeithmartin.com visit politicalquote.blogspot.com" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Join Westport Labour Party</I></div> <bR> <div> We would love to have you as a member.  To join up please fill in the form below. </div> <bR> <div> <B>Declaration </B></div> <div> I wish to join the Labour Party and I subscribe fully to its aims, objectives, and policies. I agree to abide by the Party's Constitution <A HREF="http://www.labour.ie/party/constitution.html" TARGET="_top" TITLE="http://www.labour.ie/party/constitution."><U>(</U></A><FONT SIZE="1" COLOR="#0000FF" FACE="Arial" ><A HREF="http://www.labour.ie/party/constitution.html" TARGET="_top" TITLE="http://www.labour.ie/party/constitution."><U><U>the Party Constitution can be viewed here</U></U></A></FONT><A HREF="http://www.labour.ie/party/constitution.html" TARGET="_top" TITLE="http://www.labour.ie/party/constitution."><U>)</U></A>. I declare that I am not a member of any other political party. I agree that if I should become a member of any other party at any time my membership of the Labour Party will be automatically terminated.</div> <bR> <DIV ALIGN="LEFT"></DIV> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="I accept the Declaration of membership,FirstName,LastName,Email,Address1,Address2,Town or Town Land,State,Phone"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for joining. Welcome to the Westport Labour Party. We wilk contact you shortly. If you have any questions please contact Keith on 086 0691182. Once again Welcome!"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="kmartin@cllr.westporttc.ie"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td> <input type="checkbox" name="I accept the Declaration of membership" value="yes"> I accept the Declaration of Membership</td> </tr> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Town or Townland:<br> <input type="text" name="Town or Town Land" size="30" maxlength="100"></td> </tr> <tr> <td align="left">County:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <div> Westport Labour Party fully accept our responsibility to safeguard your privacy, confidentiality and security.</div> <div> We value your trust very highly, and promise you that we will protect the security and privacy of any personal information you provide to us.</div> <div>  </div> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="joinusinwestport.htm" TARGET="_top" TITLE="Join Westport Labour Party"><U><IMG SRC="24704040.jpg" border=0 width="516" height="516" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </td> </tr></table></body>