Basingstoke Community Transport

Chute House, Church Street, Basingstoke, Hants RG21 7QT

Application to Affiliate

On behalf of the …………………………………………………….Club/Organisation

I/We wish to affiliate to Basingstoke Community Transport

I/We agree to pay the £2* Non Refundable life membership fee.

I/We agree to pay the £16* Annual administration fee, invoice raised each year by BCT.

(Fees paid, cover the financial year from 1st April to 31st March or part thereof). (All Groups)

I/We agree to pay the minimum vehicle cleaning charge £60* ( If deemed necessary)

I/We agree to abide by the conditions laid Down By Basingstoke Community Transport.

(Only drivers holding D1 or higher and MiDAS trained may drive BCT vehicles)

I/We agree to pay £100* towards any insurance claim made against a driver supplied by our own group/organisation

Our Address for all Communications: …………..……………………………………….....

…………………………………………………………………………………………………..

I/We agree to inform BCT of any change of personnel and Organisation details that would affect official contact, especially in receipt of correspondence e.g.: invoices, meeting information and general matters.

Signed………………………………………………Date…………………………………….

Print Name…………………………………………Appointment…………………………..

Telephone Number Work…………………………Home…………………………………...

email address .......................................................................

* Price correct as at 1st Juky 2016

For office use only

Affiliation Number__________

This membership is provisional until confirmed by the BCT Management Group.

Confirmed at the Management meeting held on: Date……………………………………

Signed……………………………………………… Print Name……………………………

Appointment:………………………………………………………………………………

 

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