motorhome-rental-booking-form

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                                                                              2011 Booking Form

                                    www.firstclassmotorhomes.com


NOTE: We would advise that you take out travel insurance for your vacation.

RENTAL DATES

From Date……………………………….. To Date…………………………….. Number Nights……………….………….

OCCUPANTS

Number of Adults………………………. Number of Children……………….. Ages of Children………………………….

HIRER DETAILS

Mr/Mrs/Ms ……………………………………………………………………………………….….…….….……………….….

Address ……………………………………………………………………………………….……….……….….……………..

………………………………………………………………………………………………………………………....................

Post Code ……………….….…..………

Telephone: Day..……………..………… Mobile…………………………...… Evening ………………………...................

Email ……………………….....….….…………………………...

Nationality ………………………...……………………………..

Emergency contact name and telephone number ……………………………………………………………….….…..…..

FIRST DRIVER DETAILS

Mr/Mrs/Ms …………………………………………………………………………………..………….…………….…….….…

Address ……………………………………………………………………..……………………….……….……………….….

……………………………………………………………………………………..……………………………………………....

Post Code ……………….….…..………

Telephone: Day: …………………………………….…………...… Evening ………………….......………………………...
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Email ……………………….....….….……………………………... Occupation……………………………………………..

Driving Licence Number …………………………………….…….

Country of Issue ………………………...……………………… Expiry Date………………………………….……………..

Date of Birth……………………………………………………... Number of Years License Held………………………….

Convictions or Endorsements       ( Yes / No )

Insurance Claims in last 5 Years ( Yes / No )

Accidents in last 5 Years        ( Yes / No )

If Yes to any of the above please detail

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………

SECOND DRIVER DETAILS

Mr/Mrs/Ms …………………………………………………………………………………..………….…………….…….….…

Address ……………………………………………………………………..……………………….……….……………….….

……………………………………………………………………………………..……………………………………………....

Post Code ……………….….…..………

Telephone: Day: …………………………………….…………...… Evening ………………….......………………………...

Email ……………………….....….….……………………………... Occupation……………………………………………..

Driving License Number …………………………………….…….

Country of Issue ………………………...……………………… Expiry Date………………………………….……………..

Date of Birth……………………………………………………... Number of Years License Held………………………….

Convictions or Endorsements       ( Yes / No )

Insurance Claims in last 5 Years ( Yes / No )

Accidents in last 5 Years        ( Yes / No )

If Yes to any of the above please details

……………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………
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BOOKING DETAILS

                                                                                                     Total

Motorhome Rental Cost - _____weeks at £_______ per week + _____ nights at £_____per Night          ___________

Insurance CDW Reduction - _____ days at £8 per day                                                 ___________

Satellite Navigation - _____ weeks at £45 per week + _____ days at £9 per day                      ___________

Second Driver - _____ days at £3 per day                                                           ___________

Bicycle Hire (Qty_____) - _____weeks at £25 per week each + _____ days at £5 per day               ___________

                                                                                     TOTAL        ___________

PAYMENT DETAILS AND CARDHOLDER AUTHORITY

Please make cheques payable to “First Class Rental Ltd”

Card Type……………………………………………………….. Name on Card……………………………………..………

Card Number……………………………………….................. Start Date……………………Expiry Date……………….

Issue Number……………………………………………………. 3 Digit Security Code……………………………………..

Please charge this debit/credit card for deposits and charges




Signed ……………………………………………… Print Name…………………...………………….. Date ………………




HIRERS AUTHORITY AND AGREEMENT WITH TERMS & CONDITIONS




Signed ……………………………………………… Print Name…………………...………………….. Date ………………

Please assist us by indicating how you found First Class Motorhomes   :

Google     Yell.com    Yellow Pages      Other Web Search       Motorhome Dealer     Recommendation        Other




Please return your completed Booking Form by email, mail or fax to:

Mr G. MacKenzie, First Class Rental Ltd., 27 Cheviot Crescent, Lindsayfield, East Kilbride, South Lanarkshire, G75 9GG,
UK

Phone: 01355 261800 Fax: 01355 261194

				
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