Reservation Form
Title
*
Surname
*
Forenames
*
Address
*
Post/zip code
*
Email

*

Telephone Number

*
Driving Licence No.
*
Drivers age
*
 
No.In Party Children
Hire Dates
From date
Time  
am pm
 
To Date
Time  
am pm
I shall be staying at
CHILD SEAT DETAILS
Baby seat, rear facing up to approx 9 to 12 months
Child seat, 9kg - 18kg for 9 months to 4 years  
Booster seat, 15kg - 25kg for 4 - 6 year
Child seat, 9kg - 18kg for 9 months to 4 years
The above are all approximate guides. Please give age and weight of all children below to ensure the correct item is provided.
DELIVERY INSTRUCTION
Deliver to my Accommodation
Time am pm
Meet me at Kirkwall Airport?
Arrival Time am pm
Flight number from
Meet me at Harbour?
pm
Ferry Boat From
Drop of Point
COST OF HIRE DETAILS
Card Type
Card Number
*
Issue Number (Switch)
Start Date
*
Expiry Date

*

Security Code
*

Group Type
( select one)

Group A Group B Group C Group C (Automatics)

Group D Group E

Group F Small Van Medium Van Mini Bus

 Pick Up Large Van

Number Of days
Collision Damage Insurance
Delivery Charge
Today's Date
I have read and understood the
terms and conditions of Hire
Donates fields which must be filled in *