TVAM Membership Application Form

Mr/Mrs/Miss/Ms/Rev/Prof/etc (required)

Your Full Name (required)

Known as:

Your Address (required)

Your Postcode (required)

Home Tel

Mobile Tel

Your Email (required)

Date of Birth YYYY-MM-DD (required)

As a registered charity, TVAM can claim Gift Aid on your membership subscriptions if you are a UK taxpayer. Please tick this box if you are happy to allow TVAM to collect this from the government each year unless you advise otherwise.
UK Tax PayerNot a UK Tax Payer

When did you take your DoT/DSA motorcycle test? YYYY-MM-DD (required)

Please supply the reference number if you have already purchased an Advanced Rider Package direct from the IAM

Or, if you are a full current IAM member please specify your membership number

How did you first hear about TVAM?

TVAM's Observers are all unpaid volunteers who, in the main, have to work in order to provide the service they do. To try to pair you with the most appropriate Observer, please indicate when you are more likely to be able to take part in observed rides?
WeekdaysWeekday EveningsWeekendsOther
If you checked "Other", please state when you are available.

Finally, please read the following declaration and indemnity carefully before moving on to the Direct Debit Mandate:

I declare that:

• I am aware that in order to remain a member of TVAM, my membership of the IAM must be maintained.
• I am the holder of a valid current driving licence for the vehicle I am using, that I have appropriate insurance for the vehicle, either personally or via my employer and that the vehicle, if appropriate, has valid MOT and tax. I also confirm that these will be in place throughout the duration of my IAM course. I agree that I will produce my driving licence to an observer, examiner or IAM official if requested to do so and that they may prevent me taking any further part in IAM activities until I do so. I confirm that I am fit to drive or ride and not under the influence of any drug (including prescribed medication that may adversely affect my fitness to drive/ride). I will wear corrective eyewear while driving or riding if my eyesight requires it.
• I am aware that I am responsible for all driving or riding decisions and I will make my Observer/Examiner or Trainer aware if I become distracted. I agree that any advice/direction given will require my diligence to be applied safely. lf I have any doubt I will ask for clarification before following the advice/direction.
• I will abide by TVAM rules as laid down in the Articles and Memorandum of Association.
• I understand the details given will be held on a computer database for company and IAM use.
• I understand that I must meet the IAM's eligibilty criteria at time of taking the Advanced Test.
• I understand that as a member of Thames Vale Advanced Motorcyclists, in the unlikely event that TVAM is wound up, I will be liable to pay the sum of £1.00
• I understand that participation on any TVAM event will be at my own risk.
• Renewal payments for both TVAM and IAM will be made by Direct Debit processing.

TVAM/IAM Direct Debit Mandate Form - used for future membership renewal payments.

The Institute of Advanced Motorists
IAM House
510 Chiswick High Road
London W4 5RG

IT101_D01/01006/007338/000002

Names of Account Holder(s)

Account Number

Branch Sort Code

Name and full postal address of your Bank / Building Society

To the Manager:
Bank / Building Society

Address:

Postcode:

Instruction to your
Bank or Building Society
to pay by Direct Debit

Originator's Identification Number:

940809

Originator's Reference (IAM Membership No. - if known)

INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY :-

Please pay The Institute of Advanced Motorists, Direct Debits from the
account detailed in this Instruction subject to the safeguards assured by
the Direct Debit Guarantee.

I understand that this instruction may remain with The Institute of
Advanced Motorists and, if so will be passed electronically to my
Bank / Building Society.

I understand that the IAM will also collect payment of the TVAM
renewal fee and that this may occur as a separate transaction.

THE DIRECT DEBIT GUARANTEE

• This guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
• If there are any changes to the amount, date or frequency of your Direct Debit the IAM or TVAM (if appropriate) will notify you 14 working days in advance of your account being debited or as otherwise agreed. If you request the IAM to collect a payment, confirmation of the amount and date will be given to you at the time of the request
• If an error is made in the payment of your Direct Debit by the IAM or your bank or building society you are entiltled to a full and immediate refund of the amount paid from your bank or building society
• If you receive a refund you are not entitled to, you must pay it back when the IAM asks you to
• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.




Finally, check this box to confirm acceptance of TVAM Membership & Direct Debit Mandate T&Cs


If you would like to print a copy of your form, please click the printer icon below - do this BEFORE you click "Send"!




Thank you. Now press "Send" and you will be redirected to our Webshop, where you can pay your joining fee.