WE CAN SMOKE PARTY
Representing the rights of Britain's 14 million Smokers
Enclosed please find my cheque for
£...........:...........
My Name
 
My Address -                         1st Line
 
                        2nd Line
 
                      Town/City
 
                          County
 
                      Post Code
 
   
                             e-mail
 
                  Home Phone
 
                 Mobile Phone
 
   
If you are interested in becoming your
local
WCSP candidate please enter
the official name of the Parliamentary
Constituency which you wish to
represent.