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Four Towns Registration Form New Logo Please give any other details that may help us Ring and Ride Registration Fee transport you comfortably. All information you To use our services there is an annual registration give is confidential. fee of £5.00. Please make cheques payable to Four Towns & Vale Link Community Transport and send in a sealed envelope with your name and address. Social Car Scheme If Four Towns & Vale Link cannot transport you on Ring-and-Ride we will endeavour to get you trans- port with one of our volunteer drivers in their own Emergency Contact car. This costs 40p per mile from your drivers Please give a name and telephone number of a starting point to your destination and return to the drivers starting point. Diamond travel card holders relative or friend (including neighbours) we can Cut Here contact in an emergency. pay 25p per mile. Name: Travelling Companion Do you need someone to travel with you and assist Telephone: you? You may be eligible to have a companion Mobile Number: added to your Diamond Travel Card so that they can travel free. Call: 01454 868 529 Please complete and return with your £5 registration fee, made payable to Four Towns & We cover: Email: info_4tt @yahoo.co.uk Vale Link Community Transport: Four Towns & Vale Link Visit: www.4tt.org.uk • Almondsbury • Oldbury on Severn Community Transport • Alveston • Olveston Norman Scott Park, Coniston Road, • Aust • Patchway Four Towns & Vale Link Community Patchway, Bristol, BS34 5JR Cut Here • Bradley Stoke • Pilning Transport, • Charfield • Severn Beach Norman Scott Park, Signature • Cromhall • Rockhampton Coniston Road, Date • Falfield • Stoke Gifford Patchway, Please leave 72 hours before booking for the • Filton • Thornbury Bristol, first time to enable registration to take place. • Frampton Cotterell • Tortworth BS34 5JR Office use only • Hallen • Tytherington On system Called member Welcome Pack • Hill • Winterbourne Registered Charity No. 1084874 Services Opening hours Registration Form We aim to provide safe, cost effective, Monday to Friday 9am - 5pm Complete this form to register on our system and accessible transport to residents and groups in (Journeys outside of these hours may be possible return to address overleaf: the Four Towns & Vale Link areas to subject to driver and vehicle availability) Mr/Mrs/Miss/Ms other complement the existing transport system. Booking times 10am - 2pm Name: We offer a Ring-and-Ride service for individuals We advise 48 hours advance notice before Address: and a Social Car Scheme with volunteers using travelling. However, for doctor/hospital their own cars. appointments, please book travel as soon as you We currently have 14 mini buses, 11 of which have your appointment. accommodate wheelchairs. Examples of our services: • Shopping trips Home Number: Cut Here Ring and Ride • Social visits, special events Mobile Number: To qualify, residents must live within the Four • Work/education Email Towns & Vale Link area (see over) and one of the following must apply: • Hospital/doctor appointments Bus pass number • Be aged 60 years or more Please note we cannot always guarantee to get you home after a health visit, always take your Dia- Do you consider yourself disabled? • Have special needs mond bus pass and extra money for possible return Yes/No • Be in receipt of benefits travel costs. Do you use any of the following equipment to • Have access problems Shopping trips travel? (please tick) • Hold a Diamond bus pass • Morrisons and Asda, Cribbs Causeway • Sainsburys, Filton Wheelchair Scooter Trips • Tesco, Bradley Stoke Shopping Trolley Guide Dog We also run trips to various places of interest. • Tesco and Aldi, Thornbury Trips are advertised on our website and in the Cut Here Walking stick Zimmer Frame Requesting travel on Ring-and-Ride local community. Escort Pushchair/Toddler Registered members can make request travel by New trips lists are available each month. If you calling 01454 868 529 . Requests are made on a send us a Stamped Addressed Envelope we will first come first serve basis. Please be ready 15 min- Wheelchairs and scooters need to have a risk send to you by post. utes before your pick up time. assessment before travelling with us. If you have the manufacturer’s name and model South Gloucestershire concessionary bus passes name/number, this would be a great help to us. are accepted. Those with bus passes are entitled to We will need to assess the occupant in the wheel- travel FREE on local Ring-and-Ride journeys only. chair going in and out of our buses safely. Four Towns & Vale Link Transport reserve the right To request a risk assessment please call the to refuse, defer or cancel a registration. office 01454 868 529 .
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