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Print and complete this form if booking by mail. Confirm hire dates and post to - 1 Wellingborough Road, Broughton, Kettering, Northamptonshire NN14 1PD. We also need details of other occupants. All in block capitals please. |
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Hire Period to Start from:- |
Hire Period to End on:- |
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Name of Hirer (must be over 18) |
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Address of Hirer:
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Telephone Number: |
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| Mobile Telephone Number: |
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| 1st Car Registration Number: |
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| Make, Model and Colour of Car: |
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| 2nd Car Registration Number: |
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| Make, Model and Colour of Car: |
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Other occupants |
Age (if under 16) |
Address |
| Cheque payable to Stephen Woodley - please |
| I have read and agree to the Hire Terms and enclose cheque in the sum of :- | £ |
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Signature : |
Date of Signature: |