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Request for Membership Cancellation

We will process your request to cancel your UNISON membership as soon as possible. In the meantime please contact your bank/payroll department to notify them of your wish to cancel payments to UNISON.

Personal details

First Name
*
Last Name
*

Membership record

Help us locate your membership record by providing one of the following:

Membership number

NI number
----

Date of birth
Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month -- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year ---- 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900

Contact details

House name/Flat number
(EXAMPLE: Flat 10)
Street number
*
Street
*

Town
*
County

Postcode
*
Email address
*
Retype email address
*

Immediate contact details (if we need to)

Contact telephone

Home Work or Mobile

Best time (Optional)
-- 6am 7am 8am 9am 10am 11am Noon 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm

Employer's details

Employer
*
Job title

Reason for cancelling:
Please select Change of employment Ceasing work Returning to study Retirement Subscription changes Dissatisfied Other

PLEASE NOTE
Please complete the form as fully as possible. Your email will be read by UNISON as soon as possible. We may contact you if we need further information.