Membership Application Form Application Fees 2022/23: £200 (1 vehicle); £325 (2 to 10 vehicles); £425 (11 to 51 vehicles); £525 (51 vehicles and over). Main Details (All fields are required) Contact Name Company Name Address Line 1 Address Line 2 Address City Address Postcode Email Telephone Number Mobile Number Proprietor/Director Insurance Company Insurance Policy Number Number of Vehicles Date Please indicate if you are happy for your contact details to be shared with other UKCOA members. YesNo Please indicate if you are happy for your contact details to be shared publicly on the UKCOA website. YesNo A copy of your Insurance Certificate and Operators Licence (PSV 422) is requested with this application. It is the responsibility of members to update the Membership and Administration Officer with any changes. Insurance Certificate (.pdf, .doc, .docx) Operators Licence (.pdf, .doc, .docx) Supplementary Information Type of Vehicle Number of Vehicles: 20 seats and below Number of Vehicles: 21 to 40 seats Number of Vehicles: 41 seats and above Total Euro 1 / I 0 Euro 2 / II 0 Euro 3 / III 0 Euro 4 / IV - non PSVAR 0 Euro 4 / IV - PSVAR 0 Euro 5 / V - non PSVAR 0 Euro 5 / V - PSVAR 0 Euro 6 / VI - non PSVAR 0 Euro 6 / VI - PSVAR 0 Other 0 Total 0 0 0 0 Total Annual Mileage Main Type of Work Payment Application Fees 2022/23: £200 (1 vehicle); £325 (2 to 10 vehicles); £425 (11 to 51 vehicles); £525 (51 vehicles and over). Please make payment by bank transfer to sort code 30-65-41 and account number 38387260. An invoice will be sent on receipt of payment. (Money will be refunded if your application is unsuccessful). Alternatively, you can request an invoice prior to payment. ---Bank Transfer has been made. Please send invoiceInvoice is required before payment
