Become a Member Form - Glasgow Disability Alliance

I live, work or am active in Glasgow Yes

We're sorry, memebership is only available to people who live, work or are active in Glasgow.

First name

Last name

Phone number

Street Address

Postcode

Are you A disabled person

A parent/carer of a disabled person

A worker who supports disabled people

Representative of an organisation controlled by disabled people

Other

Disabled person's date of birth

Lastly, we need to know a bit more about any dietary, access or support need you might have

Organisation

Job title

Membership does not give full or associate members the right to use Glasgow Disability Alliance's name to promote their work and personal objectives by implying that GDA approves their projects or bids for funding without expressed permission
Members, individuals or groups must not present themselves as a spokesperson for GDA under any circumstances without expressed agreement of GDA

I agree to the conditions

Leave this field blank