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
None1-2526-5051-7576-100101+
High Dependency
None1-2526-5051-7576-100101+
Patient Transport
None1-2526-5051-7576-100101+
Rapid Response Vehicles
None1-2526-5051-7576-100101+

What is your declared Banding based on ambulance related turnover*
---Associate (turnover n/a)Band A (turnover up to £500k)Band B (turnover £500k – £2m)Band C (turnover £2m – £5m)Band D (turnover £5m - £15m)Band E (turnover £15m plus)

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

Full Name*

Please prove you're not a robot*
What number would you dial for an ambulance in the UK?

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