National Union of Approved Driving Instructors

Please complete the following form to request membership to NUADI.
Fields marked with a * are optional.
Press the submit button when complete.
Cheques should be made payable to NUADI and sent to:

NUADI, 22 Albemarle Road, Norton, Stourbridge, West Midlands DY8 2BG.
FEES:- £15 per quarter or £50 per annum.

Please send 2 passport sized photographs.

First name:

Middle initials:

Last name:

Address line 1

Address line 2

Town/City:

Post Code:

Telephone:

E-mail:

ADI No.

ADI expiry date:

Month end / Year eg 08/98

Date of Birth:

Day Month Year 19 *

Car details:

Make *
Model * c.c. *
Petrol Diesel *
Expected change date Month *
Expected change date Year *
Will you change manufacturer Yes No *
If Yes, to which manufacturer *

Subscription type:

Quarterly at £15 Annually at £50

Comments:

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