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If you want to become a United Left supporter, please fill in the fields below. This will then be sent to United Left in your Region. Please note United Left reserves the right to refuse admission to anyone they deem unsuitable to accept as a supporter. If successful, you will be asked to pay a minimum of £20 per year membership fee.

* indicates required

I support *

The aims of UL

Email Address *

First Name

Last Name *

Gender *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Phone Number

UNITE - membership no. *

UNITE Branch no *

Employer

Industrial Sector

Unite positions

Brief Biography

Are you a UNITE FTO? If yes, job title:

Name of employer Town or city where based

Which UNITE Office you are based?

Name of employer Town or city where based

Please tick if you are you LGBT+

Please tick if you are disabled

Please tick if you are a migrant worker

Your Date of Birth

Employment status

EMPLOYED
UNEMPLOYED
RETIRED
STUDENT

Preferred format

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