top of page

If you are struggling with this form, or would like it in another format please Contact Us.

Membership Form

* your home address, or your work address if you are not an Islington resident.

I Declare that the following apply to me (Please Tick all that apply)

I understand that, by becoming a member of Disability Action in Islington, in the event of the company becoming insolvent I will be liable for an amount not exceeding £10.

Thank you for applying to being a member, we will get back to you soon!

Unit 3 Marquess Estate, St Paul's Road, London, England, N1 2SY
Registered Charity Number 1055692. Company Limited by Guarantee 3201755
PHONE: 020 7354 8925
EMAIL:  info@daii.org
bottom of page