Gullefer's Travels - Booking Request

Gullefers Travels	Off Road Family Camper Trailers for Hire

Booking Request

Suburb*:	State: Postcode:
Name*:
Street*:
Country*:
Home phone*:	Mobile:
Email*:
Driver's Licence No.*:	DOB (dd/mm/yy)*:

ADDITIONAL DRIVER
Name:
Address:
Driver's Licence No.:	DOB (dd/mm/yy):

VEHICLE PARTICULARS
Make and Model*:
Fuel*:	Rego No.*:
Colour of Vehicle*:

HIRE OF CAMPER
Picking Up Date and Time*:
Dropping Off Date*:	4:00pm latest drop off

PROPOSED DESTINATION(S)
City/Town/Region(s): (in the expected order of arrival)

ADDITIONAL ITEMS REQUIRED
	Outback Pack Full Set of Annex Walls Thermal Fly Engel 40 Litre Fridge Additional Gas Bottle (note: one included with camper)
	Bunk Beds Jerrycans Water Containers	Note: combined total of Jerrycans and water containers no more than four

Comment or Questions:

email: info@gullefers.com.au | phone/fax: +61 8 9354 5000