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International
Capitalist Party
Membership Application
FORM No. ICP-
I. Personal Particulars
§ 1
Full Name
*
§ 2
Conspiratorial Name
For use in all official Party correspondence
§ 3
Electronic Post Address
*
§ 4
Nation of Residence
II. Identification
§ 5
Photograph for Membership Card
Passport-style photograph preferred. Will appear on your official Party card.
III. Declaration
§ 6
Statement to the Party
Issue Membership Card
Return to HQ