Tamworth Pty Ltd

ABN: 760 825 24403

5 Kingsford Smith St, (P O Box 7121 NEMSC) TAMWORTH NSW 2348

P: 6762 2606 F: 6765 2111 M: 0407 255 013

Email:

AELEC 2017 Cart Hire

CUSTOMER INFORMATION FORM

Miss/Ms/Mrs/Mr First Name: ...... Surname: ......

Address: ...... Town...... Post Code: ......

Home Phone No: ...... Mobile No:......

Drivers Licence No: ......

Email Address: ......

Business Name (if claimable): ......

Business Address: ......

Please tick the hire cost that relates to you.

□2 Seater Tray Back cart (petrol)

$77.00 incl. per day forhire to be paid in advance (minimum 3 day hire)

**plus fuel that will be charged to credit card at completion of hire

Information/Special requirements: ......

......

□4 Seater Golf Cart with tray back

$90.00 incl. per day for hire to be paid in advance (minimum 3 day hire)

**plus fuel that will be charged to credit card at completion of hire

AELEC Event ………………………………………………………………………..

Note: There is a limit of 14 Golf Carts per event hired at AELEC

Date cart Required: Start / / 2017 Finish / /2017

● All drivers are to provide a photocopy of their licence

PAYMENT DETAILS

□ CREDIT CARD

**payment for hire will be withdrawn day before hire commences, fuel for cart will be charged at the completion of hire.

Please debit my: [ ] Visa[ ] MasterCardExpiry Date: ___/___

Credit Card No: ______

Cardholder Name: ...... Amount $......

Signature: ......

______

□ CHEQUE

Please address cheque payable to: DTM Tamworth

______

□ DIRECT DEPOSIT

Name: DTM TamworthBank: ANZ Tamworth

BSB No: 012 830Account No: 496290768

**Please note the surname as your direct deposit reference and fax your remittance advice to 6765 2111 or Email to

______

TERMS & CONDITIONS OF HIRE

No children or persons under 25 years of age are permitted to operate the hire vehicle at any time.

If children are found operating a hire vehicle the hirer may be fined by the police and the hire cancelled, no refund will be given. AELEC staff have authority to remove cart from hirer.

The hirer hereby indemnifies the owner against claims, actions, suits or demands whatsoever nature by the hirer or any other person arising out of the use or operation of the golf cart.

- All Carts hired at Aelec are petrol carts and will be refilled with petrol at end of hire and charged to credit card.

- A $50.00 cleaning fee will be charged if cart is returned dirty and full of hay etc.

- The vehicle is hired subject to the above conditions which I acknowledge to have read before signing and will be returned in the same condition as when received, any damage to cart and property will be charged to the hirer, fair wear and tear excepted.

For your booking to be confirmed we will need:

- Completed AELEC Customer Information Form with credit card details completed.

Photo copy of driver’s licence

Payment in advance or Companies/Associations can provide an order number

Print Name………………………………….Signature….………………………………