BELBINS BUS SERVICES

General Booking Form


Just print, fill out and send back

Please return this form with your deposit to confirm your booking

NAME:……………………………………………………………………………………………….
ADDRESS:……………………………………………………………………………………………
PHONE:………………………………………….………………………………
EMAIL:……………………………………………………………………………………………….

DATE/s REQUIRED:…………………………………………………………………………………
START TIME:……………………………PLACE…………………………………………………..
FINISH TIME:…………………………...PLACE:……….………………………………………….

NUMBER OF PASSENGERS..............................................................................................................

QUOTE:…………………………………………
DEPOSIT REQUIRED: 10 %………………………..

PAYMENT METHOD:

Cheque………Cash……….Credit Card:….……………………………….………(name on card)


Card Number………………………………………Signature…………………………………..


Expiry date………………………...


All deposits will be forfeited if tour/charter is cancelled without 2 weeks notice.

Thank you and we look forward to seeing/helping you soon.

CONTACT DETAILS

email us ....

Don

Stacey

0407 658 414

PO BOX 9

DUNALLEY TAS 7177

ph/fax: 03) 6253 5252