Vantastic Membership Form - Group

Part One - Eligibility

This must be completed by all applicant Groups. It gives us information about your Group so that a decision can be made about whether you meet the Vantastic criteria for Membership

Eligibility

Please tick most appropiate

Community & Voluntary Group
Registered Charity
State Funded Body (Statutory agencies; Government agencies; State Departments; Academic institutions in receipt of state funding and "hybrid' non-profit organisations

This is a required question

Part Two - Membership Details

Full Group Name

This is a required question

Address

This is a required question

Telephone (mobile number preferred)

This is a required question

E Mail

This is a required question

Part Three - Billing Details

We require full billing details before any journeys can be booked and undertaken

As above in Part Two (Membership Details)

If No complete below

This is a required question

Full billing name

This is a required question

Invoice & Statement Address

This is a required question

Billing Telephone / Mobile

This is a required question

Billing E-Mail

This is a required question

Part Four - Information to help us help you

Where did you hear about Vantastic

This is a required question

Which Vantastic services do you wish to use

Please mark as appropriate

Minibus Service
Self Hire rental

This is a required question

Declaration

In submitting this form I am declaring that the information given is complete and true in all respects