Membership Application Form

Questions marked with an asterisk are those we need for membership.The others are optional, but help us get to know you, and provide your tutor with some details to assist in your training.

Name

TitleForenameSurname

Address Line 1

Address Line 2

City/Town

PostCode

Email

example@example.com

Home Telephone Number

Mobile Telephone Number

Emergency Contact Name

Emergency Contact Number

How many years driving/riding experience do you have?

What, if any, driver/rider training have you had since passing your test?

Do you want to be trained as a:

DriverRiderBoth Driver and Rider

Which aspect of your driving/riding would you like to focus on?

Availability for training

Our GDPR information can be viewed at www.casdad.org.uk/gdpr

Keeping in touch

If you’d like us to keep you informed of social activities, group news and road safety matters by email, click here

Initial joining and membership fee is £38 if paid by BACS.

Account name: Central and South Devon Advanced Drivers. Sort code: 20-87-94, account number 63408396. Please inform the treasurer when you have paid, by emailing treasurer@casdad.org.uk.

If you would like to return this form by email, please send it to info@casdad.org.uk.

If you would like to return a printed version please send to CASDAD, c/o Unit 5 Marlborough Court, Manaton, Close, Exeter EX28PF.

Signature