Ring and Ride registration form

Male   Female
Yes   No
Yes   No
Yes   No
Yes   No
Electric   Manual   Folding

Other:
Yes   No

National concessionary travel pass for eligible over 60s and disabled

National concessionary travel pass concession plus for disabled people


The information below will be retained by GMATL for monitoring only, not as a basis for registration, and will be treated in a private and confidential manner.

 


Any other background not in the list above

Please specify:


Data Protection

GMATL will not disclose this information to any other persons or organisations except within GMATL.

GMATL registered charity No 1007487 complies with the data protection act 1998 and uses the law to protect your information.

If you do not want us to contact you in the future about Ring & Ride events please tick here.

Declaration

I confirm that the above details are correct and that I need to use Ring & Ride because I have great difficulty using ordinary public transport.

I will inform Ring & Ride if there are any changes to my circumstances which affect my eligibility to use the service.