Charter Booking/Payment Form - Bunbury Bus Service

Customer Information Name *: Organisation: Address: Email *: Phone *:

Date and Time of Charter Total Number of Passengers:
Pick Up Date:
Pick Up Time:
Pick Up Address :

If there is more than one pick up location, please add them in the Comments/Notes below.

Drop Off Time: Destination Address:

Payment Quoted Hours: Quoted Price: $

Credit Card Details

All bookings must have valid credit card details provided.
All Private bookings must have valid credit card details provided with at least $500 credit.
Credit cards may be pre authorized to the value of $500 for a bond if required.
Corporate Bookings do not require a credit card.

MastercardVisa Card Holder Name:
Card Number:
Expiry Date:
Security Number:

Comments/Notes

Declarations

Drivers are responsible for the safety of all passengers and have the right to remove any passenger/s that pose a safety risk or are acting in an illegal or irresponsible manner. It is against the law to consume alcohol on a bus as the bus driver’s licence may be at risk.

I HAVE READ, UNDERSTAND AND AGREE TO ALL THE PROVISIONS OF THIS AGREEMENT AND ACCEPT ALL RESPONSIBILITY

I ACCEPT THAT EXTRA CHARGES MAY BE CHARGED TO MY CREDIT CARD FOR ADDITIONAL CLEANING OR SHOULD THE CHARTER EXCEED THE ORIGINALLY AGREED SCHEDULE

I HAVE RECEIVED, READ AND UNDERSTAND THE TERMS AND CONDITIONS FOR THE PROVISION OF THIS AGREEMENT

* Required