Declaration of support:

I have read and understand the Mark Tunnicliff`s own Divergent party constitution and agree with enough of it to support him.
I am registered to vote at my current address and will vote for a Mark Tunnicliff should he be standing in my area.
In filling this in, I acknowledge I will do my best to promote Mark Tunnicliff and the political party he associates with the best I can.

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You have the right to withdraw this at any point. 
It will be used to keep you up to date and remains confidential.
Other appointed personnel may also have appropriate access.