Membership Form

Membership ID

This field is hidden when viewing the form

Last Renewal Date

This field is hidden when viewing the form

Expiry Date

Joining

Union Name

Name(Required)

First Last

Email(Required)

Password(Required)

Phone(Required)

Date of Birth(Required)

Your Address(Required)

Street Address City County Postcode Country

Are you a woman born in the 1950s?(Required)

Yes

Where did you hear about WASPI membership?(Required)

Newspaper Articles

WASPI Facebook Page

Television/News

Local Group

Other

Internet Search

If other, please specify here(Required)

Membership Type(Required)

Union Type(Required)

Please enter which benefit you receive from the Government(Required)

Payment Frequency(Required)

Full Membership Price

Price:

12 x Monthly Payments

Price:

Concessionary Membership Price

Price:

12 x Monthly Payments

Price:

Associate Membership Price

Price:

12 x Monthly Payments

Price:

Union Region Membership Price

Price:

Union Branch Membership Price

Price:

Union National Membership Price

Price:

Setup Fee

Price:

This will be added to your first payment. The remaining payments will be at £2 per month.

Membership Terms & Conditons

Before joining WASPI you must agree to our Terms and Conditons. They can be seen here (link opens in a new tab).

Confirmation(Required)

I agree to the Terms & Conditions

Email Updates

Tick here if you would like to receive updates by email from WASPI about our Campaign.

Total to pay today

Payment Method

Credit Card

Search the site

Membership Terms & Conditons