To register your adoption of the Simultaneous Policy (SP), simply print out and fill in the form below and fax or mail it to the following address. We will add your name to our mailing list to keep you up-to-date. As an adopter, you will be welcome to join us in campaigning for a fairer, more democratic world through SP. Full details will be provided when we acknowledge your registration. 
 
 

I adopt SP and undertake to vote (if I am eligible to vote) for ANY candidate at elections, within reason, who pledges to implement the Simultaneous Policy alongside other governments when all, or sufficient, other governments have made the same pledge. Alternatively, I undertake to encourage my preferred party to support SP.

I understand that my adoption of SP is provisional because SP is a work-in-progress and that I am entitled to join with other adopters in formulating SP's vital measures for global peace, justice, security and sustainability. I may revoke my adoption of SP at any time by notifying the International Simultaneous Policy Organisation.

Address (home): ……………………………………………………………………………………......

State/Province: ……………………………………………………………………………………........

Country: ……………………………………………Postal or Zip code: ………………………….…. 

Telephone (optional):………………………………Fax (optional):…………………………………..

E-mail address (if available): ………………………………………………………………………......

How did you hear about SP? ......................................................................................................

Signature: ……………………………………………………………………………………………......

(  ) Please send me ...... copies of The Simultaneous Policy: An Insider's Guide to Saving Humanity and the Planet, by John M. Bunzl, at £ 9.95 each (including VAT, p&p in the UK). Prices in other currencies are available on request from jbunzl@simpol.org. Payment may be made in a variety of ways (see below). 

(  )  I would like to make a donation to ISPO for an amount of …………… (please specify currency).

To send your donation and/or make your order, you can:

• Mail this form with an enclosed cheque payable to ISPO.

• Transfer your payment/donation to the ISPO bank account, number 01691880 at HSBC Bank, 184 High Street, Bromley, Kent BR1 1HL, England. Branch: 40-15-05.

•  Send ISPO your payment through www.paypal.com

(  ) I am a member of these other NGOs (please list): …………………………………………………...... 
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(  ) I have the following skills (e.g., web design, public relations, speaking, activism) which I would be willing to volunteer to help the SP campaign:  ………………………………............................................................. 
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(  ) In the last (check one) (  ) parliamentary (  ) presidential (  ) congressional election, I (check one): 
(  ) voted for (name political party) ....................................................
(  ) chose not to vote. 
This election took place in (name country) ……………………… on (give date) …………….

(  ) Adding me to Simpol's global listserv (in English).
(  ) Adding me to my national/language Simpol listserv.
(  ) E-mailing me important campaign alerts. 
(  ) E-mailing me information on Simpol's quarterly newsletter, It's Simpol! 
(  ) Never send me any email information.
(  ) Contacting me by post from time to time.