Registered Charity 803103
Volunteer Driver for The Tracy Trust
I am pleased to assist The Tracy Trust by driving 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: 07hilltop@gmail.com or at
“Hilltop”, Hedgerley Hill, Hedgerley, SL2 3RJ. Tel: 01 753 643663
(Revised September 2021)
I am pleased to assist The Tracy Trust by driving 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: 07hilltop@gmail.com or at
“Hilltop”, Hedgerley Hill, Hedgerley, SL2 3RJ. Tel: 01 753 643663
(Revised September 2021)
