Register with us!

Please fill in the form below and click the "Register now!" button to send your application to Woking Community Transport. All information will be treated as confidential.

All about you.....enter "none" if the question does not apply:

Your name:
Address:
Post Code:
Telephone:
Email address:
Emergency contact name:
Emergency contact telephone:
What is the nature of your disability?
Date of birth eg 23/11/1938
Do you use a mobility aid?
If you use a wheelchair, can you transfer in and out of it when inside the bus?
Do you need to bring an escort with you when you travel?

Please indicate any regular destinations:

Centres for the Community:
Town Centre:
Supermarkets:

When you have completed the form, please check it and then click on the button below to confirm that you agree with the following statement:

I am resident in Woking Borough and have mobility difficulties which prevent me from using the standard bus services. I confirm that the information I have provided is true and correct.

Booking Line

01483 724433

Advice Line

01483 744800

Register with us!

Links: