Family Member Details - Pre-payment Please complete this form to send us your details. You will then be presented with the Family Membership Options available. Have your details changed since your last membership? Change of Details* Details Changed Details Unchanged Membership Number, if Renewal First Adult Details: First name* Last Name* Date of Birth Nature of Disability, if any 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 type the word Yes into the box on your donation or Membership Application. 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 Agreement* I am a UK Tax Payer and agree to claim Gift Aid I am not a UK Tax Payer Second Adult Details: First name Last Name Date of Birth Nature of Disability, if any First Child Details: Child First Name Child Last Name Date of Birth - Required Second Child Details: Child First Name Child Last Name Date of Birth - Required Address* Phone Number Mobile Number Email Address Please confirm that you are not a script by entering the letters from the image.