2015 Community and Nursing Homes

2015 Community and Nursing Homes

Mini-Bus Tours

Name of organisation:

Address for all correspondence:
Contact person: Contact no:
Position in organisation:
Drivers name:
Licence No: / Expiry date:
Phone: (W) / (M)
Fax: (W)
Email:
Registration details of bus:
Seating capacity of bus:
Number of people you expect to have on your bus tour:

Please insert the date/s and circle preferred time/s

The dates for Floriade are –
Saturday 12 September to Sunday 11 October 2015
Excluding Weekend and Public Holidays
1st Choice
Date:
Time: 10am 10:30am 11am 2pm 2:30pm / 2nd Choice
Date:
Time: 10am 10:30am 11am 2pm 2:30pm

Please note: Your first choice of day and time may not always be available. You will be contacted to discuss and confirmation of your booking will be provided in writing.

Have you included –

·  A copy of the Drivers Licence

·  The Vehicle registration

·  CTPI and vehicle insurance

Please complete this application form and return by Friday 7th August 2015 to:

John Leahy

Events ACT

GPO Box 158

Canberra ACT 2601

or fax to: 02 6205 0629