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Advance Union - Application form

Membership *

Standard - £ 6.70

Lottery

Total Amount

Member Details Please tell us a bit about you and your job, before we take your payment details.

First Name *

Last Name *

Email *

We would prefer a personal email address

Street Address *

Address Line 1

Address Line 2

City *

Postal Code *

Mobile *

Please provide your personal mobile

Staff Number (E number) *

E & 7 numbers

Birth Date *

Employment Start Date *

if unsure please approximate

Company *

Your Legal Employer - search from first few letters

Business Area

Your Business area (such as Branch Interactions or CICC) if you are not sure select "other" and update the box below with more information.

Work Location

This is your contractual work address:f you are not sure select "other" and update the box below with more information.

Other (if you can't find your business area or Location)

Please describe your location or business area if you are not sure or have selected other.

Job Title

S Band

S1 S2 S3 S4 S5 Other

Campaign Code

if you have been offered one by a colleague or representative please update your campaign code.

Reason for Joining

Select the most relevant option

Recruiter E Number or Name

if a representative or member recommended your join, please let us know their E Number or Name

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