Registration and Renewal Process

If you wish to register or renew as a group member click here

 

Dial-A-Ride / Dial-A-Car Registration and Renewal Form

Our permit 19 licence requires all users to become members either individually and or as a group. To become an individual member, you must not have access to your own car during the day and can say YES to at least ONE of the following:-

  • There is no public transport available.
  • Although public transport is available, it does not run at times suitable to you.
  • You have difficulty using public transport due to disability or frailty.
  • If renewing your membership please complete all information to ensure our records are up-to-date.

Simply complete the below online form or download a PDF copy here.
 

Membership Costs

Dial-A-Ride/Dial-A-Car

£10.00

Annual Fee


* - Mandatory Information

Membership No:

Your Contact Details

Pick a date

In case of an emergency who should we contact?

What is the main reason that you need to use this service? *

Tick all that apply

When travelling with FACT, would you like to bring with you any of the following?

Tick all that apply

Declaration *

I wish to apply for membership and I agree to abide by the terms and conditions as set out in the Fenland Association for Community Transport conditions of hire, and I understand that any breach of these conditions may result in being expelled from membership. I understand that Fenland Association for Community Transport does comply with the Data Protection Act and I consent to Fenland Association for Community Transport holding the above information about me.