LEAP - Lochwinnoch Car-sharing Club

1. LEAP - Lochwinnoch Car-sharing Club

Please use the form below to register your interest in the proposed Lochwinnoch Car-sharing Club.

LEAP- Lochwinnoch will not share your contact information with any other organisation.

This survey is being carried out by Carplus Trust in partnership with LEAP- Lochwinnoch as part of the Developing Car Clubs in Scotland programme.

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* 1. My contact details are:

Name: *

Address 1: *

Address 2:

Town: *

Postal code: *

Telephone:

Mobile:

Email Address:

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* 2. Are you over 20?

Yes

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* 3. Do you have a driving licence?

Yes

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* 4. Do you live in Lochwinnoch?

Yes

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* 5. Do you own a car or van?

Yes

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* 6. Do you have access to a car at home or work that is not owned by you?

Yes, at home

Yes, at work

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* 7. I would be most likely to use a car-sharing club car at the following times (please click all that apply)

	Morning	Afternoon	Evening
Weekdays	Weekdays Morning	Weekdays Afternoon	Weekdays Evening
Saturday	Saturday Morning	Saturday Afternoon	Saturday Evening
Sunday	Sunday Morning	Sunday Afternoon	Sunday Evening
Whole weekends	Whole weekends Morning	Whole weekends Afternoon	Whole weekends Evening

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* 8. How often would you be likely to use a car-sharing club car? (if the charges are reasonable)

More than once a week

Once a week

Once a month

A few times a year

Only in an emergency

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* 9. Do you have any other comments?

Your registration will be complete when you click the done button below. Thank you for registering your interest. If you want to contact the Lochwinnoch Car-sharing Club, please contact Rob Welsh at LEAP - Lochwinnoch; Tel: 01505 842530, e-mail: robwelsh@lochwinnoch.info If you want to know more about the Developing Car-Sharing Clubs in Scotland programme, visit: www.carplus.org.uk/scotland click here