Volunteer Driver

Registered Charity 803103

   Hilltop
   Hedgerley Hill
   Hedgerley
   SL2 3RJ
   Tel: 01 753 643663
   Volunteer Driver for The Tracy Trust

I am pleased to assist The Tracy Trust by conveying Trust Members who have no other means of transport.

My car Insurance Company has been advised and has confirmed that my car insurance policy will cover such journeys.

Full Name:       ……………………………………..………………………................................................

D.O.B:    ………………………………………………………………..

Address:           …………………………………………………………..…………………………………………...

                        …………………………………………………………….……………………………………………...

Email:              ……………………………………………………….. Phone no: …………………………..

Driving Licence number: ……….....................….. Expiry date: …………............…..

Bank account details for reimbursement of expenses:

Bank name:…………………………………...…………………………………………………..

Account no: ……………………..…………. Sort Code: ……………………………..

DATA PRIVACY: By signing this form, you are agreeing to the Tracy Trust holding and processing your personal data according to its Data Privacy Notice which is available from our website or from our Secretary.

Signed: …………………….………………………………………….

Date: ………………………………………………………………..

Please return to Helena Makowski, Secretary by email at: hilltop@greenbee.net or at the address above.