MERSEYSIDE GROUP of RoSPA Advanced Drivers and Riders
www.roadarmerseyside.org.uk
Application Form for Membership
Please complete the relevant details, sign and date the form and return with your
cheque or postal order made payable to ‘RoADAR MERSEYSIDE’
Steve Savage, 37 Mather Road, Prenton, Wirral, CH43 1TS
Associate Membership
The Membership fee is £49.50, which includes a copy of Roadcraft and the Highway
Code. If you already have the books, the fee is £39.50.
I wish to become an Associate Member of Merseyside Group of RoSPA Advanced
Drivers. Tick here
Full Membership
I have passed the RoADAR test within the last 3 years and would like to join as a full
member. Cost of full membership to the Merseyside Group is £17 per year.
Date of Last Test………………………………Grade……………………….. RoSPA
No…………………………………..
All Name:
................................................................................................................
Address:
................................................................................................................
…………………………………………………………………………………………Postcode: ......................
Telephone (Optional): …………………………….. E-mail (Optional):.........................
Date of birth (Optional): .............................Occupation(Optional):........................
Give details of previous advanced motoring experience (if any)
…………………………………………………..
......................................................................................................................
.........
What do you normally Drive/Ride? Make:………… Model:…………
Engine capacity:……………
How did you hear about Merseyside Group (Optional):
...................................................
I enclose a cheque or Postal Order to the value of £............
Signature: ....................................................... Date: ............................
For any driving/riding that I do with the Merseyside group of RoADAR, including observed sessions and
social drives/rides, I confirm that at all times I will be held responsible for my own driving/riding and the
control of my vehicle. I will not carry out any instruction or act upon any direction which I believe to be
unsafe. My vehicle will be insured, taxed and if appropriate hold a current MOT certificate. I am the holder
of a current driving licence valid for the vehicle that I drive. I agree that RoSPA and the Merseyside Group
of RoADAR will accept no liability for accidents or damage howsoever caused as a result of my
driving/riding. I understand that it is my own responsibility to drive/ride safely, responsibly and to be in
compliance with the law at all times.
*** Alternatively, you may transfer the funds directly into our bank account ***
Please ensure you include your full name as a reference on the transfer.
Lloyds TSB Bank Account Name: Roadar Merseyside Sort: 77-17-09 Account No: 25371560