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Complete your contact details below so a local Connecting Communities operator can get in touch

Fields marked with * are required.

Title *

First name *

Last name *

Address line 1 *

Address line 2

Address line 3

Town/City *

County

Postcode *

Telephone *

Email *

Please let us know how you'd prefer to be contacted (e.g. "email" or "weeknights after 6pm by phone")

What type of driving are you particularly interested in doing? (Please tick all that apply)

Driving your own car
Driving a minibus
Driving a car but do not have access to a vehicle
Committee member
Office admin support
Passenger assistant