Independent Union of Approved Driving Instructors

Please complete the following form to request membership to IUADI.
Fields marked with a * are optional.

Cheques should be made payable to IUADI and sent to:

IUADI, 22 Albemarle Road, Norton, Stourbridge, West Midlands DY8 2BG.
FEES:- £10 per annum. (To be reviewed annually.)

If receipt is required please send an S.A.E

First name:
Middle initials:
*
Last name:
Address line 1
Address line 2
*
Town/City:
Post Code:
Telephone:
E-mail:
*
ADI No.
ADI expiry: End of Month / Year eg
Date of Birth:
Day    Month    Year * eg
Car details:

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