Freedom to Go Reservation Form

Please telephone or email to confirm availability of a Motor Home on the dates you require before sending a reservation form and deposit.

After confirming that your dates are available, fill in this form and press the [complete] button. You will be presented with a completed form which you should print out and send with a copy of your driving licence and a cheque for your deposit of £150 per week.

Carioca 635 Carioca 656

Address Details

Name:

Address:

Post Code:

Telephone No:

Dates required

from to

Areas you will be visiting

Type here

Number of people in party

Adults: Children:

Children's Ages

Please supply information on personal insurance cover

Are you covered for:

Cancellation Costs?

Loss of Luggage?

Loss of Money & Medical Expenses?

Personal Accident Insurance?

Other information

Have you taken this type of holiday before? yes no

How did you hear about us?

Other comments:

I have read and understand the conditions of hire and enclose a cheque for £ as a booking deposit (made payable to "IScottWigton"), which I understand is not returnable in the event of cancellation (hirers are advised to insure against such an event).

Two proofs of identity will be required at the start of the hire, please see the Terms & Conditions.

Press 'complete' to produce a completed, printable form