Membership

Use this page to join NUDSA as a new member or to renew your membership. Simply fill in the boxes, print this page and send it to the secretary with the relevant payment.

Name
Organisation Name (If Organisation)
Address
Postcode
Phone Number
E-mail Address
Date of Birth
Membership No. (If Renewing)
Disablility Type

Wheelchair
Ambulant
Hearing Impaired
Visually Impaired
Carer

Membership Type

(£5)
(£2)
(£20)
Favourite Player (Zebra Only)

I enclose the required amount on a cheque payable to NUDSA

Signature: