Accord Union

Thank you for deciding to join us - simply fill in the form below.

You will immediately become a member of the Union when you submit your details. Once we have processed your application we will send you a letter giving your membership number, membership information and a Direct Debit form for your subscriptions.

If you have any questions about the form please contact Membership Records Department on 0118 934 1808.

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

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About You:

Title

First Name

Last Name

Date of Birth

Home Address

Town/City

County

Postcode

Home Telephone

Employer

Workplace

Job title

Working hours

Full time Part Time

Number of Hours Worked

Personnel Number

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