Join the IAA

Organisation Name*

Full Address*

Postcode*

Telephone Number*

Email Address*

Website*

Company Registration Number

VAT Registration (if applicable)

CQC Registration Number

Please describe the regulated services you provide*

Please state how many of the following types of vehicles you currently operate:

Accident & Emergency

High Dependency

Patient Transport

Rapid Response Vehicles

What is your declared Banding based on ambulance related turnover*

I declare that all the information given is accurate and forms the basis of our application for membership*

Full Name*

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