Disability Labour

Welcome to Disability Labour.

To join us or to affiliate please complete this form

* indicates required

Prefix (Mr/Ms/Mx etc)* *

Pronoun (He/She/They/Hir/Ze etc)* *

First Name* *

Known As* *

Last Name* *

Address* *

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

Phone Number

Email Address* *

Constituency Labour Party* *

Labour Party Membership Number* *

Labour Party Membership Status* *

I Confirm I AM NOT CURRENTLY SUSPENDED from the Labour Party
I Declare that I AM CURRENTLY SUSPENDED from the Labour Party. Please email info@disabilitylabour.org.uk
Not Applicable (Affiliate Applicant)

All individual members must tick the relevant box

Membership Type* *

Affiliates should email the Disability Labour Secretary to arrange payment of affiliation Fee

What are your access needs?

Policy interests?

Is there anything else you would like to tell us?

Are you a Disability Officer / Equalities Officer* *