Baby Boomers Caravan Hire

HIRE CARAVAN BOOKING

Thank you for your booking. Please complete the details below and press the send button at the bottom.

On receipt of this form deposits will be arranged by way of return email.

Please note - All fields with a * and accompanied by blue text must be completed.

Caravan being booked:

First choice*	Second choice	Third choice

HIREE DETAILS

First name*	Surname*

Residential address

Address 1*

Address 2

Town*	Postcode*	State*

Phone

Home*	Work	Mobile	Fax

Email*

Drivers license

Number*	Expiry date*

ADDITIONAL DRIVER

First name	Surname

Residential address

Address 1

Address 2

Town	Postcode	State

Drivers license

Number	Expiry date

TOW VEHICLE DETAILS:

Brand*	Model*	Year of manufacture*

Gearbox*	Registration number*	Registration expiry date*
Auto Manual

Comprehensive insurance

Insurance company*	Policy number*	Expiry date*

Towball

Download (kg)*	Towing Capacity (kg)*

Distance from ground level to the top of the towball* cm (should be 45 to 50cm)

Electric brake controller fitted* Yes No

Auxiliary 12 volt power supply 'hotwire' fitted* Yes No

OPTIONS (No charge)

Mirror extenders TV aerial Stabilizers

OPTIONS (Additional)

Annex

DATES BOOKED (Inclusive)

From*

To*

DESTINATION *

NUMBER TRAVELLING

Adults*	Children* (If none insert 0)
Children ages (comma separated)