(Please read the following declaration. We will NOT process your application for transport if you do not sign and date the declaration).
The information I have given on this form is complete and accurate.
I hereby agree to pay for 190 days of transport either in ONE payment of £500* or THREE payments to be paid prior to the start of each term of £220, £220 and £110.
Please make cheques payable to: Holmeswood Coaches Ltd or call 01260 273108 to pay by debit card ONLY.