Thanks for deciding to join us - simply fill in the form below. If you have any questions about the form please contact the ACCORD Membership Records Department on 0118 934 1808. When we have processed your application we will send you your membership number and other useful information. Your membership card will follow shortly afterwards. * Denotes field is compulsory About You: Title * Mr. Mrs. Miss. Ms. Dr. Prof. Rev. First Name * Last Name * Date of Birth * Home Address * Town/City * County Postcode * Email Home Telephone *     Employer * Workplace * Job title * Working hours * Full time Part time Number of Hours Worked * Personnel Number * Did anyone recruit you? If so, please supply their details   Are you or have you been a member of any other union? If so, please list them Do you consider yourself to have a disability? yes no Ethnic Origin (please tick as applicable) Asian Bangladeshi Black African Black Caribbean Black Other Chinese Indian Pakistani White Other Rather not say Would you like to buy tickets to the Union Monthly Subscription Draw? You can buy up to 5 x £1 tickets.  Please Select: 0 1 2 3 4 5

Data protection information: Your personal data will be treated as confidential and will remain on file. Click here for further Data Protection information

Alternatively you can join us in 2 other ways: