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Cougar Bus Hire Application Form
Please fill out and submit this form, and one of our staff will contact you to confirm your request.
11
Questions
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1
Select Length of Hire
If longer than a weekend, select "Full Weekend" and we will contact you for further information.
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
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Edit
ORDER SUMMARY
Total cost
AUD
Cougar Bus Hire - Part Day (less than 4 hours)
$
60.00
AUD
+
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Cougar Bus Hire - Full Day (4+ hours)
$
100.00
AUD
+
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Cougar Bus Hire - Full Weekend
$
150.00
AUD
+
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Ryan
$
Free
AUD
+
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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2
Booking Dates
*
This field is required.
Select pick up and drop off dates. If only hiring for half day or full day, only select the day of hire. REMEMBER: Bus Keys can be collected and dropped off at the MBA office from Monday-Friday 8:30am-5:30pm.
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3
Group Name
*
This field is required.
Team name (eg. U14.1 Boys) or Reason for hire (e.g. Winery tour)
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4
Hirer/Contact Person
*
This field is required.
Hirer and main point of contact
First Name
Last Name
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5
Mobile Phone
*
This field is required.
Mobile Number
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6
Email
*
This field is required.
Contact email address
example@example.com
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7
Main Destination
*
This field is required.
Where will you be heading/spending most of your time?
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8
Upload a copy (front and back) of all nominated drivers
*
This field is required.
If photos clearly show Full name, Licence Number, Conditions, and DOB, there is no need to fill in Nominated drivers question on next page.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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9
Nominated Drivers
Only use if more than 1 person will be driving the bus. Drivers must be 25 years or older.
Full Name
License Number
License Conditions
Age (25+ years)
Driver 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Driver 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Driver 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Driver 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Driver 1
Driver 2
Driver 3
Driver 4
Full Name
Row 0, Column 0
License Number
Row 0, Column 1
License Conditions
Row 0, Column 2
Age (25+ years)
Row 0, Column 3
Full Name
Row 1, Column 0
License Number
Row 1, Column 1
License Conditions
Row 1, Column 2
Age (25+ years)
Row 1, Column 3
Full Name
Row 2, Column 0
License Number
Row 2, Column 1
License Conditions
Row 2, Column 2
Age (25+ years)
Row 2, Column 3
Full Name
Row 3, Column 0
License Number
Row 3, Column 1
License Conditions
Row 3, Column 2
Age (25+ years)
Row 3, Column 3
1
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10
Terms & Conditions
*
This field is required.
Please read carefully and thoroughly.
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11
Hirer Execution
*
This field is required.
Use your mouse (PC and Mac) or finger (Mobile) to Sign below. For and on behalf of the hiring group, I ,the above named Contact Person, agree to the General Terms & Conditions of Hire.
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