Template:Infobox Local Affiliate Divided
| name=NAME OF PARTY | ||
|---|---|---|
| Established | ||
| Status Divided | ||
| NAME OF FIRST GROUP | NAME OF SECOND GROUP | |
| Chair: |
Chair: | |
| Vice-Chair: | Vice-Chair: | |
| Treasurer: | Treasurer: | |
| Secretary: | Secretary: | |
| '{{{name1}}} Address: |
{{{name2}}} Address: | |
| {{{name1}}} Website: | {{{name2}}} Website: | |