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.
|
|
| |
|
|