door to door pick up

Payment Scheme details Karrier is a membership-based scheme. Full terms and conditions are available online at This scheme is operated by The annual membership fee contributes towards the cost www.kent.gov.uk (search Kent Karrier) or by request Thanet Community Transport of administering the scheme, and a fare is payable every from the address below. By applying for the scheme you for time you travel. Please enclose a cheque / postal order acknowledge that you have read and accept these terms. with financial help from KCC. made out to Kent County Council to the value of £5. The information that you provide on this form is collected To book the service and Please do not send cash by post. and dealt with in compliance with the Data Protection Act for application forms call The £5 charge will not be waived under any circumstances. 1998. It will be used by Kent County Council to administer Thanet Community Transport the Kent Karrier Scheme (including the detection and As membership runs for one calendar year, the fee applies on 01843 602030 prevention of fraud) and will be shared with the transport irrespective of the date of application. Refunds will not be provider(s) of the scheme which you are joining for the If you wish to check times, fares or have issued and payments by instalment cannot be accepted. same purposes. a comment to make, please call Applications Thanet Community Transport on the New applications can be made at any time. You must be Checklist above number. a Kent resident and can only apply for the scheme which n Have you completed all sections of the form, operates in your area. and had it counter-signed by a registered medical Membership cards are not issued but after your application professional (if applicable)? has been successfully processed, you will receive a letter n Have you provided proof of your age if you are 85+ confirming your membership number and the contact (if applicable)? details for the operator of the scheme in your area. n Have you enclosed your payment of £5.00 Kent County Council is not liable for transport or other and made the chequ e/postal order payable to costs incurred while membership applications are being Kent County Council ? Kent County Council processed. If you have not received your membership letter Public Transport Apply today - within 28 days of your application, please contact us. Please return this form, along with payment PO BOX 441 (see above), to the following address: Aylesford membership Please remember to inform us of any change of application circumstances, such as change of address, as this Kent Karrier Membership, Kent County Council, Kent ME6 9HJ Public Transport, PO BOX 441, Aylesford, Kent ME6 9HJ form inside information is not automatically sent to this department, www.kent.gov.uk even if you have told another part of Kent County Council. Contact details For other enquiries call: 03000 413 567 Further information about Kent Karrier Dial-a-Ride services Renewals or email: [email protected] is available at www.kent.gov.uk (search Kent Karrier).

Renewal notices will be sent to you automatically, 7 7 0

Should this not answer your question 3 approximately four weeks prior to the expiry date of 3 The transport service that picks you up 5

4

please write to us at the address above, 7

your current membership. If you have not renewed your 4

1 & drops you back at your door 0 or email [email protected] e membership within six weeks of your renewal date, l i f o or telephone 03000 413567 r P

you will need to submit a new application.

h Main destinations include: g i H

y • Buckland Hospital • Deal Leisure Centre

Concessionary bus pass holders b

www.traveline.info d

e • Sandwich Health Centre & more, see inside t n

Membership of Kent Karrier is not dependent upon holding i 0871 200 22 33 r P

- a concessionary (or ‘free’) bus pass. Similarly, membership calls from landlines cost 10p per minute 5 1 0 2

of Kent Karrier does not mean that you will be entitled to a l i r p A

‘free’ bus pass. ENCTS passes are not valid on this service. train information . 1

n o

For more information about these bus passes, please 08457 48 49 50 i s r e contact Kent County Council or visit www.kent.gov.uk www.nationalrail.co.uk V dover

What is Kent Karrier Dial-a-Ride? Town areas are served on days that the bus is in town. Personal details Mobility details Rural areas are served as shown. Check below to see when Kent Karrier is a flexible Dial-a-Ride service that takes Kent Karrier is in your area. members directly from their door to a number of useful Please complete in BLOCK CAPITALS I am applying to join my local Kent Karrier Dial-a-Ride Scheme destinations in their local area. All services are operated because: (please tick ONE reason only) Pick up locations (from your door) Title: Mr/Mrs/Ms/Miss Other with wheelchair accessible vehicles and our experienced delete as appropriate please specify n I live more than 500 metres from the nearest bus stop, OR drivers will give them all the help they need. First pick-up from 10:00am n I am 85+, OR First name n I have difficulty using existing public transport* Who can use it? Monday (to Deal) To book the service you need to be a Kent Karrier member * if the third box is ticked please answer the following questions • • Deal • Elvington • Great Monegham • Langdon that apply to you and arrange for a registered medical professional and quote your membership number. • • Northbourne • • Ripple • Last name (ie Doctor/Nurse) to complete the ‘Supporting declaration’ section. You can become a member if: • Sutton • • n I am registered blind • you have a mobility impairment or other medical Address condition that makes travelling on public transport Tuesday (to Dover) n I have a mobility impairment (please specify below) difficult. Carers or companions can also travel. • Aylesham • Coldred • Dover • • Elvington • • Nonington • • Tilmanstone • Whitfield • you live in a rural area more than 500 metres away from n I travel with an escort carer or family member a bus stop or railway station. Wednesday (to Dover) n I travel with a wheelchair: manual/electric • you are 85+ (proof of age required). • Dover • Eastry • Guston • Kingsdown • Langdon I stay in the wheelchair/I transfer out of the wheelchair • Northbourne • Ringwould • Ripple • St. Margarets • Sutton please tick/delete as appropriate Postcode How do I apply? • Tilmanstone • Walmer • Whitfield If you require any further application forms then phone Thanet Community Transport on 01843 602030 and they Thursday (to Sandwich & Deal) Home telephone Supporting declaration will send one to you. • Ash • • Deal • Eastry • Goodnestone Once completed, send your application to: • Preston • Sandwich • Sholden • Staple • Title: Mr/Mrs/Ms/Dr/Other Date of birth Kent Karrier Membership, Kent County Council, • Walmer • Wingham • • Worth Name Public Transport, PO Box 441, Aylesford, Kent ME6 9HJ Friday (to Deal first Friday of month, to Dover all other Fridays) We will write back to you with your membership number, • • Capel le Ferne • Denton • Dover • Hougham Signature Position (must be medical professional) which you use to book your journey. • • River • • Whitfield • Wootton How do I book transport? Date Telephone You need to phone your local operator to book your journey. You can book up to seven days in advance, Town Centre set down/pick up points Address between 9:00am and 4:00pm. You will need to give your Emergency contact details Return pick-up from 1:00pm membership number, tell them where you want to go and when you want to travel. The operator will tell you what Dover Name time you will be collected. Your local operator details will be • Buckland Hospital • Rail Station • Pencester Road Signature provided with your membership number. • Riverside Centre • Sports Centre • Whitfield Tesco Relationship to you Date What does it cost? Deal • Hospital • Leisure Centre • Rail Station • Sainsbury’s By signing this form you are confirming that the applicant is known to Membership £5.00 per year Telephone you to have difficulty using public transport for reasons indicated above. • Park Street • Queen Street • South Street • King Street Kent County Council reserves the right to withdraw membership if the declaration is found to be false. Urban areas to all destinations £2.00 single/return • Deal Pier

Sandwich ✃ Please return this form along with payment (see overleaf) to: Rural areas to all destinations £3.50 single/return FOR OFFICE USE ONLY • Guildhall • Rail Station • The Health Centre Kent Karrier Membership, Kent County Council, Public Transport, PO BOX 441, Aylesford, Kent ME6 9HJ Scheme Ref: Processed by: