Vantastic Membership Form - Group
* Required
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
Required
Part Two - Membership Details
Full Group Name
*
Your answer
Address
*
Your answer
Telephone (mobile number preferred)
*
Your answer
E Mail
Your answer
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
Choose
Yes
No
Full billing name
Your answer
Invoice & Statement Address
Your answer
Billing Telephone / Mobile
Your answer
Billing E-Mail
Your answer
Part Four - Information to help us help you
Where did you hear about Vantastic
*
Your answer
Which Vantastic services do you wish to use
Please mark as appropriate
Minibus Service
Self Hire rental
Clear selection
Declaration
In submitting this form I am declaring that the information given is complete and true in all respects
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