Personal Details

Date of Formal:

Name of School:

Name of Hirer:

Contact Details:

 Mobile (required)

Name of Student:

Journey Details

First pick-up Address:

Pick up time:

Second pick-up Address:

Pick up time:

Formal Venue:

Arrival time to venue:

How many journeys are required?

 Single Journey Student’s pick up point to the School Formal Venue

Are other journeys required?

If Yes please provide details:

Number of passengers:
Black Citroen “The Duchess” (max 4)
Mint Green Citroen “The Countess” (max 5)

Ivory Pearl Big15 Citroën, "The Princess" (max 5)

Directions & Special Requests:

Payments & Deposits:
All payments are by direct deposit. A non-refundable deposit of $110 is required to secure your booking.
All payments are to be finalised 14 days prior to the day of hire.
Once the booking form is received a quote with information for deposit will be generated and forwarded to the hirer.
 I have read and accepted the Chauffeured Elegance Terms & Conditions of Hire