VEST Community Transport Group Outing
Booking form.

Please fill out and submit the below form, then choose and submit a corresponding date on the calendar.

VEST CT Booking form:

Group Lead information:

First name

Second name

Role

Phone

Payment information:

Invoice recipient name:

Invoice recipient email

Invoice address building number / name

Invoice address street

Invoice address town / city

Invoice address postcode

Preferred payment method

Cash

Cheque

Bacs

Destination Requirements:

Lead person on day, first name

Lead person on day, second name

Lead person on day mobile number

Destination

Date of travel

Day

Month

Year

Start Time (must not be before 09:00)

Time

HoursMinutes

Return Time (must arrive back in Cardiff before 17:30)

Time

HoursMinutes

Pickup locations (maximum of 2):

Pickup location 1, building number / name

Pickup location 1, street

Pickup location 1, town / city

Pickup location 1, postcode

Pickup location 2, building number / name

Pickup location 2, street

Pickup location 2, town / city

Pickup location 2, postcode

Passenger Information:

All wheelchairs being used must have a crash test symbol or BSI serial number as pictured at the bottom of this form:

Number of walk on passengers (max 14 per vehicle , reducing with wheelchair or scooter)

Number of wheelchairs (max 1 per vehicle)

Number of scooters (must transfer to a seat)

Number of passengers requiring lift to enter / exit vehicle

Number of quad walkers

Number of tri walkers

Number of other aids

Special instructions

VEST Community Transport Group Outing Booking form.