Membership Cancellation Form
A.
Details
Forename(s)*
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Surname*
This field is required
Employee Number / ID*
This field is required
Email address
Please enter a valid email address
Home address
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Enter address manually
Address line 1*
This field is required
Address line 2
Address line 3
Address line 4
Postcode*
This field is required
B.
Cancellation
Reason for cancelling your membership?*
Select an option
Left employer
Financial reasons
Do not need union
Subscriptions too much
Unhappy with union
Joined another union
Date left employer*
DD
MM
YYYY
Please enter a valid date
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