Booking Form

DATES OF HIRE / TO / Collect (3:30pm - 5:00pm) - Return (9:00am - 10:30am)

DESTINATION: UK EUROPE BOTH NUMBER IN PARTY

MOTORHOME #:

If overseas, which countries
If traveling outside the UK a minimum of Green Card Insurance plus AA 5 Star cover is required, the total cost for which will be included in your invoice.

HIRER DETAILS:

Mr/Mrs/Miss/Ms Forenames Surname
Address Post Code: Tel No (home)
(work) (mobile) (Emergency Contact & No.)
Occupation Date of Birth Age at Time of Hire:

Full Driving Licence No: Valid From: Valid Until:
Endorsements, Convictions, Fines, (If any) In the past 5 years:
Offence codes: No. of accidents in the last 3 years:
Pre-existing or current medical conditions:
(required)
(required)

ADDITIONAL DRIVER DETAILS: NB: additional incur an extra cost of £50 per week UK / £75 per week Europe.

FOR ADDITIONAL DRIVER SEE FORM BELOW

PAYMENT DETAILS:

To secure your booking a deposit of £150.00 is required for every week of hire, which is not refundable in the event of a
cancellation. Please choose one of the following payment options.
By Cheque
Please complete on line booking form and send together with your cheque made payable to "Freeline Vehicle Hire" to
the address at the bottom of this page.
Card payment
Please complete on line booking form and submit by email we will then forward to you an online payment facility.

HIRERS DECLARATION:

I have read and except your Terms & Conditions and am over 24 years of age and in good health.
I understand that should any of my circumstances change, I will notify FreeLine MotorHomes prior to commencement of hire.

Where did you find us: Other (Please State)

 


ADDITIONAL DRIVER FORM

ADDITIONAL DRIVER 1.

Mr/Mrs/Miss/Ms Forenames Surname
Address Post Code: Tel No (home)
(work) (mobile) (Emergency Contact & No.)
Occupation Date of Birth Age at Time of Hire:

Full Driving Licence No: Valid From: Valid Until:
Endorsements, Convictions, Fines, (If any) In the past 5 years:
Offence codes: No. of accidents in the last 3 years:
Pre-existing or current medical conditions:


ADDITIONAL DRIVER 2.

Mr/Mrs/Miss/Ms Forenames Surname
Address Post Code: Tel No (home)
(work) (mobile) (Emergency Contact & No.)
Occupation Date of Birth Age at Time of Hire:

Full Driving Licence No: Valid From: Valid Until:
Endorsements, Convictions, Fines, (If any) In the past 5 years:
Offence codes: No. of accidents in the last 3 years:
Pre-existing or current medical conditions:


ADDITIONAL DRIVER 3.

Mr/Mrs/Miss/Ms Forenames Surname
Address Post Code: Tel No (home)
(work) (mobile) (Emergency Contact & No.)
Occupation Date of Birth Age at Time of Hire:

Full Driving Licence No: Valid From: Valid Until:
Endorsements, Convictions, Fines, (If any) In the past 5 years:
Offence codes: No. of accidents in the last 3 years:
Pre-existing or current medical conditions:

 


TERMS & CONDITIONS

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FreeLine Vehicle Hire, 59 Mountcastle Road, Leicester, Leicestershire, LE3 2BW
Email : info@freelinemotorhomes.co.uk Tel: 0116 2823492

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