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FLAMINGO
HAWK 1
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EXPANDA OUTBACK
HAWK 2
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Bookings
HIREE DETAILS
Caravan
\n
Discovery
Flamingo
Flamingo Outback
Hawk 1
Hawk 2
Title
\n
Mr
Mrs
Miss
Ms
First Name
*
Last name
*
Date of Birth
*
Address1
*
Address2
Town
*
PostCode
*
State
*
\n
Select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Home Number
*
Mobile
Email Address
*
Drivers Licence
Number
*
Expiry Date
*
ADDITIONAL DRIVER
First Name
Last Name
Date of Birth
Residential Address
Address 1
State
\n
Select
ACT
NSW
NT
SA
TAS
QLD
VIC
WA
Drivers Licence
Number
Expiry Date
TOW VEHICLE DETAILS
Brand
*
Model
*
Year of Manufacture
*
Gearbox
*
A
uto
M
anual
Trailer Plug Type
*
\n
Not Sure
7 pin Flat
7 Pin Round (Large)
7 Pin Round (Small)
Registration Number
*
Registration Expiry Date
*
COMPREHENSIVE INSURANCE
Insurance Company
*
Policy Number
*
Expiry Date
*
Towball
Download (kg)
*
Capacity (kg)
*
Distance from ground level to the top of the towball
(should be 45-50 cm)
*
Electric brake Control Unit fitted
*
\n
Not Sure
Yes
No
12 Volt Hot Wire Fitted
\n
Not Sure
Yes
No
OPTIONS (No Charge)
A
ussie B.B.Q
M
irror extenders
B
attery pack
S
tabilizers
OPTIONS (Additional)
3
7 Litre Waeco Fridge
5
9 Litre Waeco Fridge
F
lat Screen TV
A
nnex (Some Vans)
DATES BOOKED
From
*
To
*
NUMBER TRAVELLING
Adults
*
\n
1
2
3
4
5
Children (if any)
*
\n
no
1
2
3
4
5
Children Ages
(comma separating ages)
Message
Destination Intended