Please complete as much information as possible. Any unknown details can be left blank.Date of BookingDate of EventBookers NameTelephone NumberMobile NumberEmail AddressMain contact address:Street AddressCityCountyPostal CodePick up address:Street AddressCityCountyPostal CodeHTMLDrop off AddressStreet AddressApartment, suite, etcCityZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePick up timeHours-000102030405060708091011121314151617181920212223Minutes-000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859Main point of contact on the dayMobile numberVehicles bookedLTA 958EHY 990DWG 917KUO 972841 SHWHFR 518EUWV 607SStandard Decoration:YesNo(White/Cream external ribbons)Internal Decorations: *YesNo(Additional Cost £40 +VAT)External Name Board: **YesNo(Additional Cost £40 +VAT)Additional Time for Photos Required?YesNoCan We Take Photos To Use On Social Media?YesNoCan We Keep Your Contact Details?YesNoPrice Quoted:Deposit Paid:Date paidBalanced Owed:Balance Due:*Colour of additional internal decorations:**Name/s required on the front of the bus:Please Advise Any Other Requirements:Any Additional Drops ?How Did You Hear About Us Please ?Payment InformationPlease Pay: Account Name: Chepstow classic busses LtdSort Code 04-00-06Account number 70444263 Please use Reference: (initials and date) Terms & Conditions:1. A deposit of £100 per vehicle is required and is non refundable2. Payment of the balance is required 14 days prior to the event3. At least one passenger needs to responsible for ensuring all persons get on and off the bus4. We will not be held responsible for anyone missing the bus5. Children must be supervised at all times6. Hire for under 18's must have a responsible adult on board7. Items left on the bus are your responsibility, the company will not be held responsible for any losses8. No food or drinks are permitted unless agreed by us prior to your booking9. A cleaning charge of £100 will be made if there is excessive dirt/food/drink/vomit found10. If we have a problem with your choice of bus we reserve the right to replace with another11. We will not be held responsible for late arrival due to problems outside of our control12. The hirer is responsible for the cost of rectifying any damaged caused deliberatly or accidently whilst the bus is on hire 13. No Dogs - unless booked in advance 14. Cancellation chargesFrom Booking to 2 Months loss of Deposit1 Month Prior 25%14-7 Days Prior 50%7-1 Days Prior 75%On Day 100%I confirm that the information given in the form is correct *YesNoI confirm acceptance of the terms and conditions *YesNoSigned by *Date *Send Message