Individual Member Details - Pre-payment Please complete this form to send us your details. You will then be presented with the Individual Membership Options available. Membership Type* New membership Renewal of membership If this a renewal, have your details changed since your last Membership? Change of Details Details Changed Membership Number, if Renewal First Name* Last Name* Date of Birth Address* Post Code Phone Number Mobile Phone Nature of Disability, if Any Email Address Gift Aid Declaration: The NABD is registered with the HMRC for Gift Aid and the Gift Aid Small Donations Scheme which lets us claim back 25p from the Tax Man for every £1 we collect or is donated, if eligible under the scheme. For this to apply we need a Declaration from you when you make that donation. The declaration is below and we simply need you to click the Agree button below. This will not cost you any more, but we can then claim the money back from the HMRC. "I want to Gift Aid my current donation and any donations I may make in the future or have made in the past 4 years to the National Association for Bikers with a Disability (NABD). I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I will notify the NABD of any change in my personal circumstances, such as name and address, or that I no longer pay UK Income or Capital Gains tax or I wish to cancel the declaration." For the rules we as a Charity are following regarding Gift Aid, please see the HMRC website Gift Aid Declaration Agree to Gift Aid Decline Gift Aid Please confirm that you are not a script by entering the letters from the image.