Membership Application Form

If you have any questions about this form please contact us. If you do not receive a reply within 24 hours please call us at (506) 466-4444.

  • Date Format: MM slash DD slash YYYY
    If yes, please note that attendants travel for half fare. It is the responsibility of the member to provide the attendant, and the attendant must be present at the time of the pick-up and return.
  • I have read the rules and regulations set forth by the Charlotte County Alternative Transportation Association and I agree to abide by these rules and regulations.

    I declare that I do not have access to affordable and/or accessible transportation
  • Date Format: MM slash DD slash YYYY