You have chosen our solidarity membership rate. This can be paid by Direct Debit either monthly or annually.
If you need help filling in this form or encounter any technical issues, please email email@example.com.
We are the political voice of the co-operative movement, working with the Labour Party to build a society where power and wealth are shared.
The Co-operative Party is powered by the support of our thousands of members - join today and help us own the future.