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Please fill in the form below to apply for CTA membership. If you need any help, you can call our office on 0161 351 1475 or email membership@ctauk.org

Your organisation

Name of Organisation

Address

Postcode

Telephone

Main email address (this email address will be your username to login to the members’ area of our website)

Twitter Handle (if applicable)

Website (if applicable)

Please provide a short description of your organisation and the part it plays in the community

Are you a Primary/Secondary School or a Sixth Form College? YesNo

Are you a public sector body? YesNo

Is the provision of transport your main function?
(We collect this information to ensure the communications you receive are relevant to your organisation. You can opt-out of these communications below.) YesNo

Please select your legal structure from the following: Registered CharityCompany limited by guaranteeCompany Interest Company (CIC)Industrial and Provident Society (IPS)Other

Please specify:

Please enter your charity number

Please enter your company number

Please enter your CIC number

Please enter your IPS number

Please select your organisational gross annual income Under £25,000Between £25,000 and £50,000Between £50,000 and £100,000Between £100,000 and £250,000Between £250,000 and £500,000Between £500,000 and £1 MillionOver £1 Million

Does your organisation have multiple branches, or is an umbrella organisation? YesNo

What types of direct transport services do you deliver or want to deliver? Community Bus RoutesCommunity/Volunteer Car SchemesDial-a-ride / Demand Responsive TransportGroup Hire TransportShop MobilityWheels to work e-bikeCar clubsOther

If other, please specifiy

How many volunteers currently support your service? 0-1011-2021-3030+

Do you utilise volunteer drivers? YesNo

Do you own and/or lease your own vehicles? YesNo

If yes, how many vehicles are in your fleet? 1-56-1011-1516-2021-2525+

Do you deliver services within more (that cover) than one Local authority area? YesNo

If Yes, which areas do you cover?

How would you describe the area you operate?

What are the main types of trips do you undertake? Health – GP/Medical Appointments/hospitalSocial – to arranged activities/ClubsSocial – to friends or familyShoppingSocial – day out tripsSocial – general leisureAccess to workOther

If other, please specifiy

Do you own and/or lease your own vehicles? YesNo

If yes, how many vehicles are in your fleet? 1-56-1011-1516-2021-2525+

Do you commission community Transport services in your area? YesNo

If Yes, What types of direct transport services do you commission? Community Bus RoutesCommunity/Volunteer Car SchemesDial-a-ride / Demand Responsive TransportGroup Hire TransportShop MobilityWheels to work e-bikeCar clubsOther

If other, please specifiy

Do you directly deliver community transport services in your area? YesNo

If Yes, What types of direct transport services do you Deliver? Community Bus RoutesCommunity/Volunteer Car SchemesDial-a-ride / Demand Responsive TransportGroup Hire TransportShop MobilityWheels to work e-bikeCar clubsOther

If other, please specifiy

Do you own and/or lease your own vehicles? YesNo

If yes, how many vehicles are in your fleet? 1-56-1011-1516-2021-2525+

Do you currently have any Electric vehicles in your fleet? YesNo

Which permits do you currently/plan to operate with? Section 19Section 22PSV OperatorSection 10B (NI only)We do not use a permit

Which permits do you currently/plan to operate with? We only carry people that access our servicesWe have an age or disability criteria e.g. only people over 60We transport anyone in our community that has a barrier to transport (no age or disability criteria)We carry members of the public (S22 service)

Do you have a seperate trading arm which delviers commercial/contract services? YesNo

Which permits do you currently/plan to operate with? PSV Operators LicenceSection 22Section 19

Please tell us how you heard about CTA membership

Details of Primary Contact

Please provide details of the person within your organisation who will be our primary contact. This person will be the main point of contact when we want to get in touch with your organisation.

Title

First Name

Last Name

Job Role

Telephone

If you would like to receive communications from CTA such as our monthly e-mail newsletter, important updates, or our quarterly membership Journal (delivered by post), please indicate your consent below. You can opt out at any time. By emailBy postBy phone

Please click here if you would like to occasionally receive information from our Corporate Supporters on useful products or services by e-mail. You can opt out at any time.

Payment

Pay by debit/credit card
Pay by BACS/Cheque

Pay by debit/credit card

Please fill in your debit/credit card details to complete your application. If you need to provide a purchase order number please enter it below.

Purchase order (optional)

Credit or debit card

Expiry

CVC

Pay by BACS/Cheque

When you submit your application you will be sent an invoice with details of your order. If you need to provide a purchase order number please enter it below.

Purchase order (optional)

If you wish to pay by BACS please pay to CAF Bank, Sort Code 40-52-40, account number 00031439. Please quote you invoice number as a reference.

If you wish to pay by cheque please send your cheque to CTA, 12 Hilton Street, Manchester, M1 1JF. Please write the name of your organisation and your invoice number on the back of the cheque.

The cost of your membership will be £24.50 per year.

Information /

Community Transport Association UK is a charitable company limited by guarantee. Registered in Cardiff no. 1985361 Registered office: 12 Hilton Street M1 1JF. Registered as a charity in England and Wales no. 1002222. Charity Registered in Scotland No. SC038518.

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