The following details are required to ensure that we have all information necessary to prepare your van for you, in the case of an insurance claim or in order to contact you in case of emergency. Please contact us at expandyahorizons@gmail.com regarding availability and we will then email you a copy of this booking form to complete. A 25% deposit needs to be made to secure your booking.
Booking Details
Jayco Expanda 16.49-2
2010 EXP / 2008 EXP / 2006 EXP
Intended Destination
Destination Site
Powered / Unpowered
Pick Up Date
Return Date
Number of Adults
Number of Children (include ages)
Additional Equipment Requests
Hiree
Full name (including title)
Address
Drivers Licence # and expiry
Home phone
Mobile phone
Home fax
Home e-mail address
Birthday (DD/MM/YYYY)
Additional Driver (if applicable)
Full name (including title)
Address
Drivers Licence # and expiry
Home phone
Mobile phone
Home fax
Home e-mail address
Birthday (DD/MM/YYYY)
Tow Vehicle
Make / Brand
Model
Year of Manufacture
Gearbox
Manual / Auto
Trailer Plug Type
7 pin flat / Small Round / Large Round
Registration #
Registration Expiry
Towball Dowload (kg)
Towball Capacity (kg)
Distance from ground level to top of towball (should be approx 45-50cm)
