Apply to Join the Co-operative Party Why join? Step 1 of 3 - Membership Type 33% Which membership rate would you like to join with?*Higher Rate (Includes Additional Donation)(£5 per month/£60 per year)Standard Rate (£3.10 per month/£35.20 per year)Reduced Income Rate (£2.10 per month/£21.20 per year)Youth 14-19 Rate (£3 per year) Personal detailsName* TitleMrMsMissMrsMxCllrDrReverend Title First Last Email* Enter Email Confirm Email Address* Address Line 1 Address Line 2 Town/City Postcode Phone*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleOtherAre you a member of a co-op, such as your local co-op shop or credit union?*The Co-operative Group ('The Co-op' / blue membership card)The Midcounties Co-operative (Includes Energy & Phone Co-op)Central England Co-operativeChelmsford Star Co-operativeEast of England Co-operativeHeart of England Co-operativeLincolnshire Co-operativeRadstock Co-operativeScotmid Co-operativeThe Southern Co-operativeTamworth Co-operativeCredit unionSupporters' trustHousing co-operativeWorker co-operativePlease send me further information on how to joinAs the Party of the co-operative movement, our members must also be a member of a co-operative society. If you are not a member of a co-op, just select 'send me further information' and continue your application. If you are unsure which co-op you are a member, check the card you use to swipe in store.Please enter the name of the credit union, supporters' trust, housing or worker co-operative below: Payment detailsHow would you like to pay for your membership?*£5 per month by Direct Debit£60 per year by Direct DebitHow would you like to pay for your standard membership?*£3.10 per month by Direct Debit£35.20 per year by Direct DebitHow would you like to pay for your reduced income membership?*£2.10 per month by Direct Debit£21.20 per year by Direct DebitHow would you like to pay for your youth membership?*£3 per year by Direct Debit £1 extra per month could enable us to reach 15,000 people with an online ad, promoting key campaigns £3 extra per month could pay for us to contact 1,200 people by SMS about our campaigns £5 extra per month could help train a young person to promote the co-operative movementWould you like to make an additional donation?*--Please Select--Yes, I would like to make a one-off donationYes, I would like to make a monthly donationYes, I would like to make an annual donationNo, not at the momentIf you would like to make an additional donation, please put an amount below:* Please pay The Co-operative Party Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with The Co-operative Party and details may be passed electronically to my Bank/Building Society.Name(s) of account holder(s)* Please enter your name as it appears on your accountBank account number (8 Digits)*Sort code (6 Digits)*Declaration & Conditions of Membership* I agree to the Co-operative Party Membership Conditions. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Why become a member? Be part of the political voice of a co-operative movement with more than a million members in the UK, with 1.1bn more around the World. Take part in selections for Labour & Co-operative candidates – or even stand yourself. Attend and vote in local party meetings, be elected an officer or become a delegate to our Annual Conference. Get training and support to help you campaign and develop your skills. Access benefits and discounts with partners in the co-operative movement. Receive a membership card, email updates and our twice-yearly magazine. Opportunities to meet other co-operators, locally and nationally. Back to topLearn more about membershipOutside the UK? Join as an International MemberPay with your credit/debit card Apply to Join the Co-operative Party Why join? Step 1 of 3 - Membership Type 33% Which membership rate would you like to join with?*Higher Rate (Includes Additional Donation)(£5 per month/£60 per year)Standard Rate (£3.10 per month/£35.20 per year)Reduced Income Rate (£2.10 per month/£21.20 per year)Youth 14-19 Rate (£3 per year) Personal detailsName* TitleMrMsMissMrsMxCllrDrReverend Title First Last Email* Enter Email Confirm Email Address* Address Line 1 Address Line 2 Town/City Postcode Phone*Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleOtherAre you a member of a co-op, such as your local co-op shop or credit union?*The Co-operative Group ('The Co-op' / blue membership card)The Midcounties Co-operative (Includes Energy & Phone Co-op)Central England Co-operativeChelmsford Star Co-operativeEast of England Co-operativeHeart of England Co-operativeLincolnshire Co-operativeRadstock Co-operativeScotmid Co-operativeThe Southern Co-operativeTamworth Co-operativeCredit unionSupporters' trustHousing co-operativeWorker co-operativePlease send me further information on how to joinAs the Party of the co-operative movement, our members must also be a member of a co-operative society. If you are not a member of a co-op, just select 'send me further information' and continue your application. If you are unsure which co-op you are a member, check the card you use to swipe in store.Please enter the name of the credit union, supporters' trust, housing or worker co-operative below: Payment detailsHow would you like to pay for your membership?*£5 per month by Direct Debit£60 per year by Direct DebitHow would you like to pay for your standard membership?*£3.10 per month by Direct Debit£35.20 per year by Direct DebitHow would you like to pay for your reduced income membership?*£2.10 per month by Direct Debit£21.20 per year by Direct DebitHow would you like to pay for your youth membership?*£3 per year by Direct Debit £1 extra per month could enable us to reach 15,000 people with an online ad, promoting key campaigns £3 extra per month could pay for us to contact 1,200 people by SMS about our campaigns £5 extra per month could help train a young person to promote the co-operative movementWould you like to make an additional donation?*--Please Select--Yes, I would like to make a one-off donationYes, I would like to make a monthly donationYes, I would like to make an annual donationNo, not at the momentIf you would like to make an additional donation, please put an amount below:* Please pay The Co-operative Party Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with The Co-operative Party and details may be passed electronically to my Bank/Building Society.Name(s) of account holder(s)* Please enter your name as it appears on your accountBank account number (8 Digits)*Sort code (6 Digits)*Declaration & Conditions of Membership* I agree to the Co-operative Party Membership Conditions. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Why become a member? Be part of the political voice of a co-operative movement with more than a million members in the UK, with 1.1bn more around the World. Take part in selections for Labour & Co-operative candidates – or even stand yourself. Attend and vote in local party meetings, be elected an officer or become a delegate to our Annual Conference. Get training and support to help you campaign and develop your skills. Access benefits and discounts with partners in the co-operative movement. Receive a membership card, email updates and our twice-yearly magazine. Opportunities to meet other co-operators, locally and nationally. Back to topLearn more about membershipOutside the UK? Join as an International MemberPay with your credit/debit card ContentsApply to Join the Co-operative PartyStep 1 of 3 - Membership Type Personal detailsPayment detailsWhy become a member?Apply to Join the Co-operative PartyStep 1 of 3 - Membership Type Personal detailsPayment detailsWhy become a member?