BLACK ASIAN MINORITY ETHNIC LABOUR

Black Asian Minority Ethnic Labour

Join BAME Labour for 5 for 2 years membership

You must be, or be eligible to be, a Labour Party member to join.
Title: Surname: Sex: M Home address: Membership number/postcode where you have your membership: Postcode: (must be completed) Mobile number:
Town Postcode
The Labour Party will contact you using the details you have supplied. If you would prefer us not to contact you using particular personal details, please write to the address in the right hand margin.

Forenames: Do you have a disability? Y Are you a party member already? Y

One Brewers Green London SW1H 0RH | 0845 092 22 99 | labour.org.uk/contact

Join / Rejoin

2013

Date of birth:

Yes, I would like to join / rejoin the Labour Party

N
To join the Labour Party now, please telephone us on 0845 092 22 99 or complete this form. Why not spread your membership payments by Direct Debit for as little as 3.71 per month?

Personal details
Title Name Address Date of birth Landline Mobile Email address Gender M F

Phone number:
5050_13 Reproduced from electronic media and promoted by and on behalf of the Labour Party, One Brewer's Green, London SW1H 0RH.

Trade Union (optional)

Mobile number: Email address:

Are you a member of an ethnic minority community? Do you have a disability?

Yes/No Yes/No

Paying by Direct Debit saves the party 5 per member per year
Membership Rates
Standard rate 3.71 per month (44.50 per year) Aged between 14-19 1 per year Aged between 20-27 1 per month (12 per year) Member of Party affiliate 1.88 per month (22.50 per year) Unwaged 1.88 per month (22.50 per year)

How to pay
I would like to pay my membership by Direct Debit until further notice. Paying by Direct Debit saves the Labour Party money!
 lease debit my account by 5 immediately, and P then at the same time every 2 years until further notice.
Name(s) of account holder(s): I would like to make an annual donation to the Labour Party of: 20 30 Other _____

How much should I pay?

Pay according to your income if you can afford to do so. See guide opposite.

Annual Income

Suggested monthly payment

15,000 to 25,000 25,000 to 30,000 30,000 to 35,000 35,000 to 40,000 40,000 to 50,000 over 50,000

3.71 (44.50 per year) 5 (60 per year) 6 (72 per year) 7 (84 per year) 9 (108 per year) 11 or more (132 per year)
From time to time we may contact you with offers we consider to be appropriate for our supporters. If you prefer not to receive such information please tick this box

S  erving or former member of the British Armed Forces Join for 1 Which Service? ________________________________________________________________  Recruited by a member of your local Labour Party. 1.25 per month (Join for 15)

Service user number Branch sort code Bank or building society account no.

9 7 2 5 4 3
Reference number (to be completed by the Labour Party) BAME LABOUR Instructions to your bank or building society: Please pay the Labour Party from the account detailed on this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with the Labour Party and, if so, details will be passed electronically to my bank/ building society. Signature Date

I would like to pay my membership by Direct Debit until further notice. Please debit my account by on or after the 21st of each month or annually.

Service Users Number:

971410

Reference number (to be completed by The Labour Party)

(details are in your cheque book) Name and full postal address of your bank or building society branch: To the manager: (bank or building society) Address:

Name and full postal address of your bank or building society branch: To the manager:

Instructions to your Bank or Building Society: Please pay the Labour Party Direct Debits from the account detailed in this instruction subject to the safeguards assured by The Direct Debit Guarantee.
Postcode Name(s) of account holder(s)

I understand that this instruction may remain with the Labour Party and if so, details will be passed electronically to my Bank/Building Society.
Sort code
Signature Date

Account number

Other methods of payment (one-off payments only)

I would like to pay my membership subscription By cheque credit card debit card
*The printed rates are correct until 31/12/2013. Membership fees are subject to Labour Party rules and may vary from those detailed on this form. You may verify the current fee by phoning 0845 092 22 99.

Postcode Please return this form to the Labour Party, not your bank.

Please note Amex, Diners, Solo and Electron are not accepted
Card number

You can pay by cheque or PO made payable to BAME Labour.

Please return this form to: BAME Labour, One Brewers Green, London SW1H 0RH.
From time to time, the Labour Party may allow selected organisations to contact you with offers that we consider to be appropriate for our members and supporters. If you do not wish to receive such information, please tick this box We may contact you using the details you have supplied. If you would prefer us not to contact you using particular personal details, please write to: The Labour Party, One Brewers Green, London SW1H 0RH.

Please make cheques payable to The Labour Party I enclose my subscription of Plus a donation of Total amount enclosed
Issue number Start date Expiry date

Name of cardholder

Signature

Date

5050_13 Reproduced from electronic media and promoted by and on behalf of the Labour Party, One Brewer's Green, London SW1H 0RH..

Please return this form to: Freepost RSJKBARTAYRZ, Labour Party Membership, Cramlington NE23 1BB

Instructions to your bank or building society to pay by DIrect Debit.

Instruction to your bank or building society to pay by Direct Debit

One Brewers Green, London SW1H 0RH