Membership No:

Your Contact Details

Payment

Journeys are invoiced at the end of every month after the journey has been completed. Where would you like the invoice to be sent?

Organisational Status *

Please answer every question

Yes No

Yes No

Yes No

Yes No

Our minibuses may only be used by groups involved in one or more of the activities listed below. *

(Tick those with which your group is concerned)

Aims of your organisation *

Give brief details

People with whom your organisation is concerned.

(Tick as many boxes as are relevant)

Declaration *

Our organisation agrees to abide by the terms and conditions as set out in the Ely & Soham Association for Community Transport conditions of hire, and we understand that any breach of these conditions may result in our group being expelled from membership. We understand that Ely & Soham Association for Community Transport does comply with the Data Protection Act and we consent to Ely & Soham Association for Community Transport holding the above information about our organisation.