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 Age UK Hythe & of administering the scheme, and a fare is payable every from the address below. By applying for the scheme you for shepway 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 Age UK Hythe & Lyminge the Kent Karrier Scheme (including the detection and As membership runs for one calendar year, the fee applies on 01303 269602 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 issued and payments by instalment cannot be accepted. same purposes. have a comment to make, please call Applications Age UK Hythe & Lyminge 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 • Ashford • Deal • • Hythe

Concessionary bus pass holders b

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e • William Harvey Hospital • Rail Station t n

Membership of Kent Karrier is not dependent upon holding i

0871 200 22 33 r P

• Designer Outlet & more, see inside - 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

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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 shepway

What is Kent Karrier Dial-a-Ride? Town areas are served on days that the bus is in that town. Rural areas are served as shown. Check below to see when Personal details Mobility details 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) with wheelchair accessible vehicles and our experienced Pick up locations (from your door) Title: Mr/Mrs/Ms/Miss Other 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 (to Hythe or Folkestone) Who can use it? Monday First name n I have difficulty using existing public transport* • • Elham • • Hythe • To book the service you need to be a Kent Karrier member * if the third box is ticked please answer the following questions and quote your membership number. • & Folkestone • Elmstead • that apply to you and arrange for a registered medical professional • Lyminge • Newington • • • Last name (ie Doctor/Nurse) to complete the ‘Supporting declaration’ section. You can become a member if: • • Stowting • • you have a mobility impairment or other medical n I am registered blind Tuesday (to Ashford) condition that makes travelling on public transport Address • Dymchurch • • Newchurch • St. Mary’s n I have a mobility impairment (please specify below) difficult. Carers or companions can also travel. • you live in a rural area more than 500 metres away from Wednesday (to Hythe or Folkestone) n I travel with an escort carer or family member a bus stop or railway station. • • Dymchurch • Hythe • • • Sellindge • Stanford • Folkestone n I travel with a wheelchair: manual/electric • you are 85+ (proof of age required). Thursday (to Ashford) I stay in the wheelchair/I transfer out of the wheelchair please tick/delete as appropriate How do I apply? • • Brookland • • • New Romney Postcode If you require any further application forms then phone • • • St. Mary’s Age UK Hythe & Lyminge on 01303 269602 and they will Friday (to Deal on first Friday of month, to Hythe and send one to you. Home telephone Supporting declaration Folkestone all other Fridays) Once completed, send your application to: • Elmstead • Folkestone • Dymchurch • Hythe • Lyminge Title: Mr/Mrs/Ms/Dr/Other Kent Karrier Membership, Kent County Council, • Newington • Postling • Saltwood • Sellindge Date of birth Public Transport, PO Box 441, Aylesford, Kent ME6 9HJ • Stelling Minnis • Stowting Name We will write back to you with your membership number, Signature which you use to book your journey. Town Centre set down/pick up points Position (must be medical professional) Return pick-up from 1:00pm How do I book transport? Date Telephone You need to phone your local operator to book your Ashford journey. You can book up to seven days in advance, • William Harvey • Julie Rose Stadium • Park St • Bank St Address between 9:00am and 3:30pm. You will need to give your • Vicarage Lane • Rail Station • Willesborough Tesco Emergency contact details membership number, tell them where you want to go and • Park Farm Tesco • Asda/Designer Outlet • Romney Marsh Rd • Bybrook Sainsbury’s • Ashford Shopmobility when you want to travel. The operator will tell you what Name time you will be collected. Your local operator details will Deal Signature be provided with your membership number. • Queen Street • South Street • King Street • Deal Pier Relationship to you What does it cost? Folkestone Date • Central Station • Civic Centre • Middleburg Square By signing this form you are confirming that the applicant is known to Membership £5.00 per year • Cheriton Tesco • Royal Victoria Hospital • Harbour Telephone you to have difficulty using public transport for reasons indicated above. • Pent Valley Leisure Centre 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 Hythe • Waitrose Military Road • Whitegates Centre • Sea Front ✃ Please return this form along with payment (see overleaf) to: Rural areas to all destinations £3.50 single/return FOR OFFICE USE ONLY • Princes Parade • Sainsbury’s • Age UK Hythe Kent Karrier Membership, Kent County Council, Public Transport, PO BOX 441, Aylesford, Kent ME6 9HJ Scheme Ref: Processed by: