Renew Group Transport membership - Newham

Please complete this form to renew your Group Transport membership

Please ensure that you have read and understood our terms and conditions before submitting the form.

Renew your Group Transport membership - Newham

Please use the form below to renew your Group Transport membership - we will invoice your organisation for the current membership fee - see our charging tarrif for details. If you have any questions then please call 0207 275 2414.      

Your group's details

Group name *

Group address *

Nominated person *

Designation/position

Main contact telephone number *

e-mail address *

Fax number

Mobile number

Account Details

Only if different from the above

Nominated Accounts person

Designation/position

Contact telephone number

Account address (if different to Group address)

Persons authorised to make bookings

Please let us know who in your group should be allowed to book vehicles

Person 1 name *

Person 1 telephone *

Person 2 name

Person 2 telephone

Person 3 name

Person 3 telephone

Evaluation of Group

We need a few pieces of information to monitor the sort of groups and organisation in the scheme.

How would you best describe the sort of group you are? (please tick the most appropriate option only) *

Self-help / Support
Tenants associations / Residents
School / College
Training
Lesbian / Gay / Bisexual
Unwaged
Housing / Homelessness
Arts
Faith
Disability Organisation
Environmental
Black & Minority Ethnic (BME)
Sports
Health
Mental Health
Single Parents
Women’s
Other


If 'Other', please specify

Which age group best describes your Group's members? *

Pre-school (0-5)
Youth (6-15)
Young Persons (16-21)
22-50
50+
A mixture of one or more of these


Is your group set up as a non-profit making organisation *

Please select Yes No

Which of the following best represents your group's constitution? *

Unfunded Voluntary and Community Group
Funded Voluntary and Community Group
Non Statutory Local Authority Group
Statutory Local Authority Group


Which category best describes the people your group works with ? *

White-British
Chinese
White-Irish
Black/Black British-Caribbean
White-Other
Black/Black British-African
White – Turkish / Turkish Cypriot
Black/Black British-Other
White – Greek / Greek Cypriot
Mixed- White & Black Caribbean
White - Kurdish
Mixed - White & Black African
Asian/Asian British-Indian
Mixed- White & Asian
Asian/ Asian British-Pakistani
Mixed - Other
Asian/ Asian British-Bangladeshi
Asian / Asian British – East African Asian
Prefer Not to Say
Asian/ Asian British-Other
A diverse range of people
Other


If Other please specify

Declaration

I am applying to renew my group as a Group Transport User Group. The information above is true to the best of my knowledge. I have read, understood and have agreed to abide by the terms and conditions presented at the top of this page and by the decisions of the management committee.

Agree terms and conditions and sign up? *

Please select Yes, renew our membership no thanks