Update your membership Membership 25th June 2014 Share 0 Tweet Please use the form to update your membership details including your contact details and your membership fee. Update your membership Step 1 of 3 33% Begin here Name* First Last To confirm your details please enter one of the following: Membership number Email address Postcode Email* Membership number* Postcode* What details would you like to update?* My postal address My email address My phone number My Direct Debit membership fee Update your details New address Street Address Address Line 2 City County / State / Region ZIP / Postal Code Email Mobile Phone Date of birth DD MM YYYY Twitter username: @ Please choose your membership rate Standard (£3 per month/£33 per year) Unwaged (£2 per month/£20 per year) Youth 18-22 (£1 per month/£10 per year) Youth 14-17 (£1 per year) How would you like to pay for your standard membership? £3 per month by Direct Debit£33 per year by Direct Debit How would you like to pay for your unwaged membership? £2 per month by Direct Debit£20 per year by Direct Debit How would you like to pay for your youth membership? £1 per month by Direct Debit£10 per year by Direct Debit Can you make an extra donation to help our General Election plans? £5 could enable us to reach 15,000 people with an online ad, promoting key campaigns £10 could pay for us to contact 1,200 people by SMS about our campaigns £25 could help train a young person to promote the co-operative movement Would like to make an additional donation? Yes, I would like to make a donation with my membership feeNot right now, but I may donate in the futureNot right now, but I would like to volunteer to support my local PartyNo How much would you like to donate on top of your membership fee? Other memberships Please select the co-operative organisations you are a member of: Not a member of a co-operative society (please send me further information)Central England Co-operativeChelmsford Star Co-operativeThe Co-operative GroupEast of England Co-operativeHeart of England Co-operativeLincolnshire Co-operativeThe Midcounties Co-operativeScotmid Co-operativeThe Southern Co-operativeThe Phone Co-opCredit unionSupporter's trustHousing co-operativeWorkers' co-operativeOther co-operative Shift + Click to select multiple items Other co-operative (please give details below): Are you a member of a trade union? YesNoPrefer not to say Please give details of any unions you are a member of below: Name This field is for validation purposes and should be left unchanged.