Have Your Say: Should the Western Cape be Independent?

Have Your Say: Should the Western Cape be Independent?

Share Your Opinion by adding your response and details below. Your participation matters!If unsure how to respond, visit www.capexitparty.com
and read the short powerful Manifesto to learn about the
Vision and Proposed Policies for an independent Cape.

1) If the Western Cape held a Cape independence (CAPEXIT) Referendum, would you vote YES?

2) What are the main reasons you would vote YES for Cape independence? (Select all that apply)

Other reasons for voting YES for Cape independence

3) Which of the following options would you most prefer for the Western Cape's future relationship with South Africa?

4) Which political party did you vote for in previous elections?

5) Additional thoughts and comments on any of the above

6) Are you interested in getting involved actively to help make independence of the Cape a reality?

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Town of residence

Region

Please note that in terms of and compliance with the POPI Act (Act 4 of 2003), the information in this Form is for Internal Party Information (IPI) purposes ONLY and is at all times treated confidentially. By completing this form, you agree to receive occasional communications from the Party via Email, WhatsApp, or Telephonically. You may opt-out of any communication channel at any point in time.

Neem asb kennis dat in terme van en in voldoening aan die POPI-wet (Wet 4 van 2003), die inligting in hierdie Vorm SLEGS vir Interne Party inligting (IPI) doeleindes is en te alle tye vertroulik hanteer word. Deur hierdie vorm te voltooi, stem jy toe om by geleentheid kommunikasie via epos, WhatsApp of telefonies te ontvang. U kan op enige tydstip van enige kommunikasiekanaal onttrek.