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 CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwePick up timeHours-000102030405060708091011121314151617181920212223Minutes-000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859Main point of contact on the dayMobile numberVehicles bookedLTA 958EHY 990DWG 917KUO 972841 SHWHFR 815EUWV 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:How Did You Hear About Us Please ?Please Pay:Chepstow Classic Buses Lloyds Bank Sort Code: 30-91-89 Account: 00206531 Please use Reference: (initials and date)Terms & Conditions:1. A deposit of £50 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. 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 correctYesNoI confirm acceptance of the terms and conditionsYesNoSigned byDateSend Message