| Chariots
Motorhome Hire 41 Progress Road Leigh-on-Sea Essex SS9 5PR |
Tel: +44
(0)1702 527272 Fax +44 (0)11703 528282 Email info@chariotsmotorhomehire.co.uk |
|
PRINTABLE BOOKING FORM |
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| Name:-................................................................................................. | |||
| Address:-............................................................................................. | |||
| ............................................................................ | |||
| ....................................................................... | |||
| Postcode:- ................................... | |||
| Telephone No.( Home):- | ........................................ | Telephone No. (Work) :- | ........................................ |
| Date of Birth | ........................................ | Occupation | ........................................ |
| Driving Licence No. | ........................................ | Years Held | ........................................ |
| Endorsements* Please note, although it may not prohibit you from driving, for insurance purposes you must disclose ANY endorsements received during the past 5 years (A photocopy of your licence is required.) | |||
| Insurance claims in last 3 years.................................. YES/NO | |||
| Additional Drivers | |||
| Full Name | ....................................... | Licence No. | ....................................... |
| Full Name | ....................................... | Licence No. | ....................................... |
| Full Name | ....................................... | Licence No. | ....................................... |
| Number of Adults Travelling | ....................................... | Number of Children Travelling | ....................................... |
| Collection date (after 4pm) |
....................................... | Return date (before 12 noon) |
....................................... |
| Will you be travelling abroad? YES/NO (delete as necessary) if YES , please state which countries | |||
| .................................................................................................................................................................... | |||
| Extras required (subject to availability) | |||
| ................................................................................................................................................................... | |||
| Deposit (25% of Hire)£................. | |||
| I enclose a cheque for £ . Please debit my credit card the sum of £ . | |||
| Credit/Debit Card (i.e. Visa/Switch) | Name on Credit Card | ||
| Card Number | Start Date (Solo/Switch) | ||
| Expiry Date | Issue No. (Solo/Switch) | ||
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CONFIRMATION OF THIS BOOKING WILL BE SENT BY RETURN |
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| I agree to the terms and conditions of hire attached | |||
| Signed | Date | ||
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NB This form should be
printed and posted to address at top, copy of driving licence and two
recent utility bills
TERMS AND CONDITIONS ELIGIBILITY Drivers must be over 25 and
under 70 years of age and have held a driving licence for at least 3
years. Minor endorsements are excepted however, serious offence
endorsements will have to be referred to our Insurers for their
acceptance. A copy of their full driver's licence plus 2 utility bills
are requested by post or fax at the time of booking. |
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