Application Form

Let's Work Together

Let’s have a chat to see how we can help and support each other.

IMAGINE is a political movement committed to affordable living, local decision‑making, social justice and environmental protection across the UK. By completing this form, you are applying to become a member of the IMAGINE Movement.

Are you a member of a trade union?
If yes, please state which union:

Membership Contribution
IMAGINE operates on a fair contribution basis. Reduced membership rates are available. Please tick any that apply.
I am a member of a trade unionI am a university studentI am unwagedI work fewer than 16 hours per weekI am retired

Method of Payment
Payment to imagine’s Bank Account by setting up a Standing Order from your Bank Account
Waged: IMAGINE membership fee by setting up a Standing order from your bank account is £5 per month or £60 annually.
Unwaged: IMAGINE membership fee by setting up a Standing Order from your bank account is £1 per month or £12 annually.
Please set up the Standing Order to Imagine
Account name: Imagine
Account number: 50279776
Sort code: 82-12-08

Declaration
I confirm that the information provided is accurate. I support the aims and values of the IMAGINE Movement and agree to abide by its constitution, code of conduct and internal policies.
I agree for Imagine to collect, process, share and use my personal data as set out in its privacy policy.
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Application Form

Let's Work Together

Let’s have a chat to see how we can help and support each other.

Let’s Work Together