Minibus Booking Form

Please fill out this form and contact by telephone us to ensure your booking is processed.

1. Name of your Group:

2. Journey details:

Start date:

End date:

Start time:   (please say if AM or PM)

Finish time:   (please say if AM or PM)

3. Booker details:

Name:

Contact number:

Email address:

4. What type of vehicles do you require?(select how many you need)

  16 seater minibus (non accessible)

  W/chair accessible (9 seats, includes 1 wheelchair space)

  W/chair accessible (12 seats, includes 2 wheelchair spaces)

Number of passengers (if known):

Number of wheelchair users (If known):

5. Do you require a driver?

  NO - I will use my own driver, his/her name is:

  YES - I need an ECT professional Driver. State the times you wish to book the driver and minibus:

Pick up Time:

Pick up Address:

Destination:

Return Time:

Return pick up Address:

Return destination:

Will you be providing a list of passenger addresses? (where appropriate): Yes No

Do you require the driver to stay with you once you are dropped off? Yes No Unknown

6. Do you require an ECT passenger assistant?: Yes No

7. Is there any additional information you would like to provide?