Title *

Forename *

Surname *

Address *

City*

Postcode*

County*

If less than 3 years at this address please note previous address

Previous Address

Date of Birth (Minimum age 25)

Nationality

Email*

Tel*

Mobile*

Hire Details

Hire Type

Caravan SpriteCaravan Adria

Number of Adults*

Number of Children*

Date From *

Date To*

Pick Up Time*

Drop Off Time*

Please see Terms and Conditions for our normal collection and drop off times. Other times by arrangement, however additional charges may apply. Please allow 1-2 hours for handover of vehicle.

Tow Car Details

Make/Model of Tow Car

Kerb Weight of Tow Car KGS

Maximum Tow Weight KGS

Registration Number

Engine Size

Insurance Company

Policy Number

Your Driving Licence Details

(Driving licences must be held for a minimum of 5 years)

Driving licence number

Date Passed

Valid To

Any physical or mental deficiencies? yesno

Have you ever been refused insurance? yesno

Endorsements, accidents and penalty points in the last 5 years
(please give full details including penalty codes and fines)

Endorsements

Occupation

Employers Name

Telephone Number

Address

Extras

Please tick your requirements and add the total cost to your balance

Bedding Pack for two people £15 per weekBedding Pack for four people £30 per weekBedding Pack for six people £45 per weekCamping Table with chairs £20 per weekGenerator fuel not included £45 per weekExtra Gas Cylinder, full £22 per cylinderCaravan Porch Awning £25 per weekTowing Mirrors required for towing caravans £5 per weekFlat Screen Digital TV £30 per weekTowels for two £10 per weekTowels for four £20 per weekTowels for six £30 per weekRoute Planning Free of ChargeExtra Cleaning eg when travelling with dog £20 per hireNon UK Driving License £20 per week