form | Accord

A. Your personal details

Employee Number / ID*

This field is required

Date of Birth*

DD MM YYYY

Please enter a valid date of birth

First name*

This field is required

Surname*

This field is required

B. Equality monitoring

Please select your gender*

This field is required

Do you consider yourself to have a disability?*

This field is required

Sexual Orientation*

This field is required

Do you identify as transgender?*

This field is required

Ethnic Origin*

This field is required

A. Personal contact details

Home address

Start typing your address Enter address manually

Address line 1*

This field is required

Address line 2

Address line 3

Address line 4

Postcode*

This field is required

Phone numbers

Please provide at least one phone number

Home / personal landline

Please enter a valid UK landline number

Personal mobile

Please enter a valid UK mobile number

Work landline

Please enter a valid UK landline number

Work mobile

Please enter a valid UK mobile number

Please enter at least one valid UK phone number

Preferred Phone Number:*

This field is required

Please select a phone number which has been completed above

Email addresses

Please provide at least one email address

Personal email address

Please enter a valid email address

This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.

Work email address

Please enter a valid email address

This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.

Preferred email address:*

This field is required

Employer*

This field is required

Workplace*

This field is required

Start typing your workplace address Enter address manually

Address line 1*

This field is required

Address line 2

Address line 3

Postcode*

This field is required

Department

Date started with employer*

DD MM YYYY

Please enter a valid start date

Type of contract*

No. of hours worked per week*

This field is required

Please enter a valid amount

Are you switching from another trade union to join Accord?*

This field is required

Which union are you switching from?*

If you are/were a member of another union, we may use this information to contact them about your membership application. If you're happy for us to use your data for this purpose, please tick here.

Agree to contacting past Trade Union

Do not agree to contacting past Trade Union

Who recommended you to join Accord?

Why did you decide to join Accord?

Thank you , your membership with accord will be: £10.50 a month

Do you have a promo code?

Every month, Accord's subscription draw gives away thousands of pounds.
You can buy up to five tickets every month, costing just £1 each.
The top prize is £5,000, there are 25 runner-up prizes of £100.

I wish to purchase the following number of tickets for each month's draw at a cost of £1 each* (please select the number of tickets you require below).

If you do not wish to buy any tickets, tick “No tickets, thank you”.

5 Tickets

4 Tickets

3 Tickets

2 Tickets

1 Ticket

No tickets thank you

* The amount is added to your monthly membership payment

Please read the Accord subscription draw rules here.

I have read and agree to be bound by the rules of the Accord Subscription Draw

You must accept the terms and conditions to enter the draw

I understand that the signed authority I have given means the first payment for my Accord subscription will be taken after the date of my signed authority. I understand that my Accord subscription will continue until I withdraw my authority by cancelling my membership in writing. I understand that Accord can, from time to time, in accordance with its Rules, increase the subscription fee due and I hereby consent to any such change. I further agree that Accord may process my personal data in accordance with its (Privacy Policy.

I have read the terms and conditions

You must accept the terms and conditions to apply

The information you have provided will be retained on Accord’s membership database. In accordance with Accord’s Privacy Policy (available on the website – see section ‘Sharing your personal data with third parties’) we may require to exchange data between Accord and your employer (please note, we don’t currently conduct data exchanges with all employers) for the purposes of ensuring our membership database is kept up to date of any changes. Do you agree to your details being included in such data exchanges? Please note that if you do not wish us to use your data in any data exchange with your employer, you will be responsible for updating Accord if any of your data changes.

Yes

No

This field is required

Thanks we're ready to set up your monthly payment of £15.50 per month.

Full time Accord membership
0 subscription draw tickets each month

Before we proceed, please confirm:

Is the bank account in your name?

Yes

No

This field is required

Are you the only signatory required to authorise this Direct Debit?

Yes

No

This field is required

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