Group membership form Step 1 of 3 33% Group name(Required) Address (including post code)(Required) Street Address Address Line 2 Town/City Postcode Address for correspondence (if different) Street Address Address Line 2 Town/City Postcode Group email address(Required) Main contact/Principal booking personMain contact/Principal booking person name(Required) Main contact telephone number (main number)(Required)Main contact telephone number (other)Invoicing contact (if different)Unless otherwise notified we shall assume that this person is also authorised to make bookingsInvoicing contact person name Invoicing contact email address Invoicing contact telephone number (main number)Invoicing contact telephone number (other)Address (to which all invoices will be sent) Street Address Address Line 2 Town/City Postcode Other authorised booking personnelAuthorised booking personnelClick the + button to add details for more contacts, up to a maximum of fiveNameTelephone numberPosition Add Remove Terms and conditionsMy group is a non-profit making organisation and wishes to join/renew membership of Wandsworth Community Transport.(Required) We agree to abide by WCT's current Terms and Conditions of use. I agree to be personally responsible for all bookings made in the group's name by authorised people and for the payment of all invoices.WCT will only use the information supplied to administer your membership and to keep you informed of our services. WCT will not pass your details to any third party and you can request that your details be permanently erased at any time. By signing this declaration you agree to this use of your data - see our Privacy Statement for full details.Are you renewing an existing membership?(Required)If so, there is no need to answer the following questions concerning membership verification, but do please update your monitoring information. Yes, renewing No, this is a new application Equal Opportunities Monitoring and Membership VerificationAs Wandsworth Community Transport is fully committed to the promotion of equality both in the provision of its service and as an employer, we would be grateful if you could give us some details of your membership. We may need to ensure that your intended use of our service complies with our Terms and Conditions before we accept your membership application.Aims and objectives of your organisationPlease email or send us a copy of your constitution, information leaflets or similar documentation describing your organisation and demonstrating your standing in the community, proof of address and eligibility for membership. Send this by post if you have joined on the internet. See our Contact page for email and postal address detailsIntended use of our vehiclesHow did you come to hear of the services provided by WCT? Local Press Word of mouth Mailout Publicity leaflet Shopmobility Saw a WCT bus Council publicity Library Doctor's Surgery Internet Other Details of someone who can act as a referee for your organisationThis should be someone in a position of authority, a Council official, Leader of a fellow organisation or existing WCT member who can vouch for your organisation and credit worthiness.Referee name Referee address Street Address Address Line 2 Town/city Postcode Referee telephone number Membership of your groupPlease estimate the total number of different people using our services during the course of the year (actual number NOT percentages):Male Female How many of these service users would describe themselves as having a disability? Please give an estimate of the number of your members who would describe their ethnic origin as listed below (actual number NOT percentages):White Black/Caribbean Black/African Black/Other Indian Pakistani Bangladeshi Chinese Other Asian Mixed Other PhoneThis field is for validation purposes and should be left unchanged.
