Join Us – Personal (Disabled) Follow us on Social Media facebook x instagramwhatsappPersonal (Disabled)Personal (Disabled)£10.00 If you have a disability and would like to join us, then sign up here for our Personal Membership. Up to 2 Adults and any under 18s resident at the same address.Select Your Payment CyclePersonal (Disabled)Sign up for Personal Membership * Username * First Name * Last Name * Email Address * PasswordStrength: Very Weak * Name * Date of Birth * Address 1 Address Line 2 * Post Town County * Post Code * Telephone* PhotoDone(Use Cropper to set image and use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.Please upload a passport-style photograph of yourself * Please give brief details of your disability* Supporting DocumentationDrop file here or click to select.Acceptable proof would be a car blue badge (side showing your details), current letter from DWP, etc. Second AdultPlease enter the name of your co-member as you wish it to appear.Second Adult photoDrop file here or click to select. Under 18sPlease enter names of any under 18s resident at your address who you wish to be included in your membership* Boaters' Blue CardYesNoDo you wish to apply for a free pair of Boaters' Blue Cards?* In what way do you enjoy our waterways?BoaterTowpath walker/wheelerCyclistAnglerGongoozlerVolunteerOtherPlease select all that apply CommentsPlease enter any further comments if you wish Membership NumberAWA use only Select Your Payment GatewayStripeHow you want to pay?Auto Debit PaymentManual PaymentPayment SummaryYour currently selected plan : , Plan Amount : Coupon Discount Amount : , Final Payable Amount: Submit Share on Social Media facebook xwhatsapp
