Bancroft Community Transit

A Transportation Service
With Your Special Needs In Mind

(613) 332-2732

 Bancroft Community Transit

BCT officeRegistration Form for Bancroft Community Transit:

The office is open Monday to Friday
9:00 a.m. to 4:30 p.m.

To register, to book the service or for further information, you may use this on-line registration form, e-mail or telephone 332-2732.

24 HOURS NOTICE for PICK UP and CANCELLATION is REQUIRED.

*Required Fields

*E-mail:

*Name: (First & Last)

911 Street Address:

P.O. Box Number:

City/Town:

Province:

Postal Code:

*Area Code & Phone Number:

Contact ONLY by Phone
Name of Contact Person in case of emergency:

Telephone Number
in case of emergency:

Referring Agency:
Main Purpose of Transportation:

Work Education l Medical Appointment
Other:

What days and time do you require ongoing transportaton:
Monday    Time:
Tuesday Time:
Wednesday Time:
Thursday Time:
Friday Time:

Special Considerations:


Please make sure the above information is correct. All information received is kept confidential. Upon receipt of on-line registration form, Dispatch will contact you.

Fares are based upon the distance traveled and will be quoted by Dispatch. Fares must be paid to the driver prior to the trip unless prearranged through your Agency.

Bancroft Community Transit
P.O. Box 727, 91 Chemaushgon Road,
Bancroft, Ontario K0L 1C0
Tel: (613) 332-2732 Fax: (613) 332-2760
Bancroft Community Transit
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