Re-Affiliate to Debt Justice for 2022

To re-affiliate to the campaign for 2022, please complete the form below.

NB. If you are not an existing affiliate, you will need to complete a standard affiliation form.

1. Your Details
Affiliation type*
- Group (local or regional)
- Organisation (national)
Group/Organisation Name*
Registration Details*
- All existing details are correct
- I would like to make changes
Contact Name
Email
Address
Postcode
Phone
Campaign updates
As an affiliated group or organisation, you will receive regular updates about the campaign. Please untick if you do not want to receive these:
- By email
- By post
Group contact listing
For group contacts, we can list your name, email and phone number in the Groups section of our website. Please indicate which details you are happy for us to include:
- Phone
- Email
2. Subscription
The following subscription is suggested. If you are unable to make a contribution, you may be able to support the campaign in other ways. Contact us for details.
Group/Organisation size
Please make cheques payable to 'Debt Justice', or pay by bank transfer to Debt Justice, Account No. 20346223, Sort Code 60-83-01. Contact matt@debtjustice.org.uk if you need an invoice or to confirm that a bank transfer has been made.
3. Authorisation
This form has been completed on behalf of the group/organisation by:
Name*
Date*
DD slash MM slash YYYY
Position
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1. Your Details