|
 Name
(Surname, First name) |
|
| Telephone
no. |
|
| Fax
no. |
|
| E-mail
Address |
|
| Coach
/ Car Type |
|
| Start
Date |
|
Return
Date
|
|
| Start
/ Department Time(00:00-23:59) |
|
| End
/ Return Time(00:00-23:59) |
|
| Trip
Description |
One way
On-Hire(3 Hours)
On-Hire(More than 3 Hours)
|
| Starting
/ Pick-up Point |
(Must Fill-in) |
| Destination
/ Drop off point |
(Must Fill-in) |
Other
Details (On-Hire Service must
describe
the route information, or other
service
requirement) |
|
| |
|
* Please read the following terms
& conditions before submit your request |
