SUPPORT THE WORK OF BARAC CAMPAIGNING AGAINST RACISM, CUTS & INJUSTICE BY AFFILATING OR DONATING

BARAC Affiliation and Donation Form

To affiliate or donate to Black Activists Rising Against Cuts (BARAC) UK please complete and return this form along with payment to:

BARAC UK

c/o Zita Holbourne, National Co-Chair BARAC UK

PCS HQ

160 Falcon Road

London SW11 2LN

Or pay directly into our account

Black Activists Rising Against Cuts (BARAC) UK, Barclays Bank

Account no:  53317803        Sort Code: 20 67 90

• I wish to affiliate to BARAC at an annual cost of:

¨ £5 individual concession

¨ £15 individual waged

¨ £25 local organisation

¨ £50 trade union branch or trades council

¨ £100 national organisation

* I also wish to give a donation towards BARAC’s work:

¨ £250  ¨ £100     ¨ £50     ¨ £35     ¨ £25     ¨ £10    ¨ Other £_______

I/ We enclose a cheque/postal order for a total of £_______ payable to BARAC.

I/We  have made a direct payment into your account for the total of £__________

Signature ___________________________ Date __ __ / __ __ / __ __ __ __ 

Individual / organisation details

Organisation
Contact name
Position
Address
Telephone
Email

 Tick here to join the BARAC email list :  

Communicating with BARAC:

Email: barac.info@gmail.com

Follow on twitter:  @BARACUK

Facebook: ‘Black Activists Rising Against Cuts’

Web: www.blackactivistsrisingagainstcuts.blogspot.com

Telephone:  07984181797

Thank you for supporting the work of BARAC, opposing racism and injustice, campaigning against the disproportionate impact of cuts on black workers, service users and communities.