CVC - Individual Application Form for Membership (Minibus)

Your Title

First name

Last name

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Description of Service

Main Activity

Emergency Contact Name

Emergency Contact Number

Please tell us about anything else you think we should know

Individual Minibus Membership is *£30 per year. -TBC

Organisation Membership is *£30 per year. -TBC

Rate Packages:

A)£60 for half a day- does not include fuel

B) £100 for a full day - does not include fuel

C) £1.50 per mile - fuel is supplied by us.

By submitting this application you acknowledge that you agree to the terms and conditions as stated here.

Date of Application

Day

Month

Year