VW Camper Hire & VW Camper Sales in the UK
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Name of Hirer
Address (inc. postcode)
Tel. Home (or) Work
Tel Mobile
Contact email
Preferred camper
Isobel
Martha
Anna
Delphi
Any
Preferred dates
From
To
Likely destination (
to help us with logistics
)
No. of adults
No. of children
Driver Details
Name
DOB (
dd/mm/yy
)
Address (
if different from above
)
Date test passed
Driving Licence number
In the last five years have you had
any accidents or insurance claims?
Yes
No
any convictions, including fixed penalty ?
Yes
No
Please provide details of any endorsements : ie., offence code, date, fine points
Please provide details of any road accidents or insurance claims
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The VW Camper Company Ltd, Unit 15 Twyford Mill Ind Est, Oxford Road, Adderbury, Oxfordshire, OX17 3SX. Tel: 01295 812266. Fax: 01295 814001.
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