Groovin the Moo Sat 13th May 2017

Name: ______Contact Number:

Email Address:

Home Address: ______

Pick up time: GTM 2017 Starts at 11am

Return time: ______GTM 2017 finishes at 11pm

Price per seat 1 way: Dalyellup / Bunbury / Gelorup $10 (11.15pm return time)

(Earliest Return Time) Eaton / Australind / Boyanup / Capel $15 (11.15pm return time)

Lescenault / Peppi Beach $20 (11.05pm return time)

Pickup times Binningup / Myalup / Busselton / Vasse/ Harvey $25 (12am return time)

are flexible Dunsborough / Preston Beach / Collie $35, (12am return time)

Yallingup / Eagle Bay $35, Mandurah $40 (12am return time)

Pickup Location / Address: ______

Number of passenger seats to reserve______Quoted Price Per Head (1 way) $______

Total Commitment $______( If travelling both ways then calculation is 1way x 2 x number of seats required)

Maximum number of passengers Coaster – 20 to 21 Hiace – 11 to 13

Payment: An invoice will be issued and a non-refundable 50% deposit will be deducted from the credit card to secure the booking. Full payment must be received by 13/4/17 to fully secure the booking.

Credit Card Security Details (No booking will be accepted without valid credit card details)

Card Number:

Expiry: ______Security code (on reverse of card) ______

Cardholder Name:

·  The safety of drivers and passengers is our highest priority. Drivers have the right to refuse and/or remove passengers that are disruptive or acting in a manner that may be unsafe to others.

·  Please be courteous of the next group and take all belongings and litter with you when departing the vehicle, Alcohol is not permitted on the vehicle. A cleaning charge will be added should the vehicle be left in an unacceptable condition.

·  Preferred times are booked on a first in basis, If concert finish times change we will adjust pickup and drop off times accordingly.

·  Due to the high demand for transport at this time, bookings are made by the seat as we endeavour to help as many people as possible get transport to and from the event, therefore Bunbury Bus Hire reserves the right to fill all seats on the bus that are not already reserved and paid for. Seats booked and paid for will not be refunded after the cut-off date 13/4/17. All passengers must be on board the bus ready for departure at the allocated times, if you are late and miss the bus your seat cost will be forfeited.

·  All passengers will be collected from and returned to the same location unless prior arrangements have been made.

I agree to all conditions outlined on this form and I authorise Bunbury Bus Hire to deduct the cost to repair any damage to the vehicle caused by or as a direct result of any passenger/s within my group’

Name:

Signed:

Please return this form to Bunbury Bus Hire via email or Fax 0897 92 4466