Apply to Join the Co-operative Party Why join? Step 1 of 2 - Membership Type 50% Select a membership rate:* Solidarity Rate£5.20 per month Standard Rate£3.20 per month Reduced Income£2.20 per month Youth (14-19) £3 per year Personal detailsName* TitleMrMsMissMrsMxCllrDrRev Title First Last Email* Enter Email Confirm Email Address* Address Line 1 Address Line 2 Town/City Postcode Phone*Date of birth* Day Month Year Gender* Male Female Non Binary Are you a member of a co-op, such as your local co-op shop or credit union?* Yes No What co-op are you a member of?Co-op Group (Blue membership card)Midcounties Co-operative (Includes Phone & Energy)Central England Co-operativeChelmsford Star Co-operativeEast of England Co-operativeHeart of England Co-operativeLincolnshire Co-operativeRadstock Co-operativeScotmid Co-operative (Includes Lakes & Dales)The Southern Co-operativeTamworth Co-operativeCredit unionSupporters' trustHousing co-operativeWorker co-operativeAs 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 'no' above to 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:About you (Optional)These questions let us know more about our members and facilitate membership of our Equalities Networks. If you would prefer not to answer you can skip to the next step.Do you consider yourself black, Asian or minority ethnic (BAME)? Yes No Prefer not to say Do you consider yourself to have a disability? Yes No Prefer not to say Do you consider yourself to be LGBTQ+? Yes No Prefer not to say Payment detailsHow would you like to pay for your membership?*£5.20 per month by Direct Debit£62.50 per year by Direct DebitHow would you like to pay for your standard membership?*£3.20 per month by Direct Debit£38.50 per year by Direct DebitHow would you like to pay for your reduced income membership?*£2.20 per month by Direct Debit£26.50 per year by Direct DebitHow would you like to pay for your youth membership?*£3 per year by Direct Debit 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. CommentsThis field is for validation purposes and should be left unchanged. Contents