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Please complete all fields of this first section:
Please select whether you wish to submit an amendment or a new addition
Which area would you like your entry to be included under: Brighton and Hove Eastbourne Hastings Lewes Rother Wealden
Name of Organisation
Contact Name: Title First Name Surname
Tel No:
Fax/E-mail
Address
Village/Town Postcode
The following fields are not compulsary to complete, but you should include as muchinformation as possible:
Eligibility of Passengers:
(e.g. Older people with mobility problems)
Specify where passengers must reside or be visiting:
Vehicle(s) Description:
(e.g. Vehicle 1 - Fully accessible 16-seat minibus)
Village(s)/Town(s)/District(s) the vehicles operate in, including details of any charges:
Volunteer drivers welcome, please select box: yes no
Notes/General comments: