Camper Hire Booking Form


    Booking Details:

    Booking Reference (required):

    Your Camper:


    Hirer Details:

    Hirer's Name (required):

    Hirer's Email (required):

    Hirer's Mobile (required):


    Hire Dates & Times:

    Start Date (required):

    End Date (required):

    Pick-up Time (required):

    Drop-off Time (required):

    Please note that 1 hire day = 24hrs from the time of collection. If you select a return time that is later than your collection time there will be a €15 fee added for every extra hour of hire. There are no concessions for an early return.


    Passenger Details (including drivers):

    Passenger 1: Full Name (required):

    Age:

    Passenger 2: Full Name:

    Age:

    Passenger 3: Full Name:

    Age:

    Passenger 4: Full Name:

    Age:

    Passenger 5: Full Name:

    Age:


    Main Driver Details:

    Full Name (required):
    Email (required):
    Street Address (required):
    Town:
    County/Region (required):
    Post Code/ZIP:
    Country (required):
    Mobile No. (required):
    Date of Birth (required):
    Occupation (required):
    Employer's Name (required):
    Driving Licence Number (required):
    Country of Issue (required):
    First Issue Date:
    Driving Convictions / Penalty Points:
    Have you ever been refused insurance? NoYes
    Have you had any driving accidents in the last 3 years? NoYes


    Second Driver Details:

    I have no other drivers so please skip to the end of the form>
    Full Name:
    Email:
    Street Address:
    Town:
    County/Region:
    Post Code/ZIP::
    Country:
    Mobile No.:
    Date of Birth
    Occupation:
    Employer's Name:
    Driving Licence Number:
    Country of Issue:
    First Issue Date:
    Driving Convictions / Penalty Points:
    Have you ever been refused insurance? NoYes
    Have you had any driving accidents in the last 3 years? NoYes
    If you need to add another driver please complete the Additional Driver From.


    Additional Notes or Questions:

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