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 (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? (required)

Please supply the reference number if you have already purchased an IAM "Skills for Life" package direct from the IAM

Or, if you are a full current IAM member please specify your membership number and section (Motorcycles/Cars/Both)

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

Finally, please read carefully and indicate that you agree to the following declaration and indemnity:

I declare that:

• 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 TVAM will be made by Direct Debit processing.

For guidance, the initial Direct Debit will be used to collect one of the following rates:

• £149 - Full IAM Roadsmart Advanced Rider Package
• £114 - If you are already an IAM member but in a different category (eg car group)
• £30 - If you are a returning member or already a full IAM Motorcycle member
• If anything different applies we will contact you in advance of making the charge

Accept declaration and indemnity (above)

Accept TVAMs General Data Protection Regulation (GDPR) statement and policy. This can be found in the footer section of our website (www.tvam.org) under "Privacy Statement"

Thank you. Now press "Send" and you will be presented with the GoCardless Direct Debit Mandate form for completion