Vehicle Hire Form

Organisation Name *

Contact Person Name *

Contact Phone Number *

Contact E-mail Address *

example@example.com

Vehicle Request *

12 Seater Toyota Hiace 10 Seater Toyota Hiace with Wheelchair Hoist

To hire a bus the organisation must be a registered bus service with Transport Safety Victoria. We will help you with this process if you aren’t already. We will contact you within one business day to confirm the vehicle hire.

Registered Bus Service *

Yes No

Date of Hire *

Start Time *

End Time *

Comments

Please feel free to provide any information you would like us to know.

My Products

12 Seater Toyota Hiace

Half Day - 4 hours

$ 50.00 AUD

Full Day - 8 hours

$ 100.00 AUD

10 Seater Toyota Hiace

Half Day - 4 hours

$ 50.00 AUD

Full Day - 8 hours

$ 100.00 AUD

Subtotal

$ 0.00 AUD

Tax

$ 0.00 AUD

Shipping

$ 0.00 AUD

Total

$ 0.00 AUD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Vehicle Hire Details