Group Travel Membership Form
Fields marked with a * are required
Group Name *
Your answer
Address 1 *
Your answer
City *
Your answer
Post Code *
Your answer
Charity Number
Your answer
Telephone Number *
Your answer
Mobile Number
Your answer
Email
Your answer
Please tell us something about your Group: *
Your answer
Who can we contact if there is a problem whilst you are travelling with us? (e.g. relative or friend)
Your answer
First Name *
Your answer
Last Name
Your answer
Address 1
Your answer
City
Your answer
Postcode
Your answer
Telephone Number *
Your answer
Mobile Number
Your answer
Data Protection: Under the data protection act, we need your permission to store and use the information that you have provided on this form, solely for easy-go CT purposes. By ticking 'YES' below you agree to this use. Thank you. Please note it is our policy not to publish telephone numbers. *
Required
Invoice Details
If your main address is not your invoice address please continue and fill in the rest of the form.
Invoice Name
Your answer
Invoice Address
Your answer
Post Code
Your answer
Phone
Your answer
Email
Your answer
Please let us know how you found out about EasyGo CT *
Many thanks for registering and completing this form, please click the SUBMIT button to finish.
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