Home > Join Us > Application Form

Membership Application Form

Step 1 of 2

To become an LPHCA Member, please fill out the form below. Please be aware that our Membership is only available to Licensed Private Hire Operators.

Please note required fields are indicated with *

Company Information

Company Name *

Address including Postcode *

Main Company Telephone Number *(No spaces please)


Primary Contact (Required)

Title * Name *


Position in Company *

Email Address *

Secondary Contact (Optional)

Members can have magazines and e-mails sent to their key contacts. If you have any additional contact information please kindly include this in 'Additional Comments'.

Licensing Information

Number of Licensed PHV/Taxi Drivers *
(this will appear on your listing on our website)

Operating Area * (this will appear on your listing on our website)

Additional Information

How did you hear about us? (e.g. Web, Magazine, etc.)

Additional Comments

I am aware that by clicking submit I will be asked for payment and this membership application will not be processed until payment is made. To become an LPHCA Member, payment is required.

I confirm that this application is on behalf of a Licensed Private Hire Operator.