Registration and Renewal Process

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

 

Dial a Ride 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:-

  • Do you live in a rural location with limited or no access to public transport?
  • Do you have to rely on family and friends to take you places?
  • Do you have difficulty using local transport due to age or disability?
  • 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

£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 ESACT, 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 Ely & Soham 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 Ely & Soham Association for Community Transport does comply with the Data Protection Act and I consent toEly & Soham Association for Community Transport holding the above information about me.