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APPLICATION FOR BUS HIRE

REQUEST A QUOTE

"*" indicates required fields

Name*

Group/Organization

Email*

Phone Number*

Destination Address*

Start date of hire*

End date of hire*

Start time of hire*

:

End time of hire*

:

Do you need a wheelchair accessible bus?

Yes

No

Number of passengers:

Adults

Children (4-7 years old)

Children (8 & over)

TOTAL*

Do you require a driver?*

Yes

No

Is the driver required to stay for the duration or is it a pick-up/drop-off only?*

Driver to stay

Pick up/drop off

Please provide details for pick up and drop off (times and locations)*

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APPLICATION FOR BUS HIRE

"*" indicates required fields

1PART A

2PART B

3PART C

4PART D

Name**

Email**

Phone Number**

Group/Organization**

Address**

HIRE DETAILS

Vehicle pick up time*

:

Date of Hire**

Vehicle drop off time*

:

Number of passengers, excluding driver:

Adults

Children (4-7 years old)

Children (8 & over)

TOTAL*

Do you require a Stryder driver?*

Yes

No

Drivers Name**

Driver’s Address**

Driver’s mobile number*

Driver’s licence no.*

Class (Note: Stryder must sight licence)*

Please attached driver RMS Driving Record

Max. file size: 64 MB.

Please note, first time users (driver) will be required to take a 15-minute practical induction prior to hire day.

PAYMENT DETAILS

Bond	$550 Bus only / $50 Bus with Stryder Driver
Cancellation Fee	75% cancellation fee if cancelled less than 5 working days.
One-off hire	Must be prepaid in advance by contacting Stryder office
Regular ongoing hire	Invoicing options available

Billing Name*

Billing Postal Address

Purchase Order Number*

Accounts email address*

Accounts Contact Name*

Phone Number*

i. The bus is to be returned in the condition provided.
ii. The bus may only be used for the purpose and destination stated in this application form.
iii. The bus is to be returned with a full tank of fuel. If not, fuel will be charged at .50c per km.
iv. There is an excess km charge of .50c per kilometre for each kilometre travelled over 200km in one day.
v. In the case of an accident or breakdown you will contact the Stryder Emergency Contact Person immediately - emergency numbers can be found in the vehicle folders.
vi. In the event of an accident the group using the vehicle will take responsibility for the insurance excess, if using own driver.
vii. In the event of a breakdown or accident the group using the vehicle will be responsible for making alternative arrangements for the transportation of passengers.
viii. In the event of breakdown or accident the group using the vehicle will be responsible for remaining with the vehicle until it is repaired, or, make arrangements for it to be taken to the agreed upon garage.

I*

on behalf of

have read the conditions of contract and agree to abide by them. I am aware that any breach of these conditions will result in the loss of privilege and the agreed deposit.

Name

Date

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