Initial Contact - Request your Motorhome and Campervan hire quote here - Motorhome Hire in Derbyshire
Go to content
Lead Hirer Details: Initial Contact Form
This part to be completed by the lead hirer, who should also be the main driver, aged between 27 and 70. You must also have passed your driving test for at least 2 years
Home Telephone including code
Mobile Telephone Number*
First Line of Address*
Second Line of Address
Where did you find us?*
Leisure Rentals Direct
Vehicle you would Like to Hire*
Lara (Sleeps 4) 2 adults 2 Children Up to Age 12
Luka (Sleeps 2)
Libby (Sleeps 2)
Bike Rack for Lara*
Number of Adults*
Number of Children upto 12yrs*
Small Pets up to 2 £20 Per Hire*
SatNav Hire with UK Wildcamp Places £20 Per Hire*
Other Destination Please Advise
Collection is 4pm on the day of hire. Drop off is 10am on the day of return.
Date you are interested in Hire Outbound 4pm Pickup*
Date you are interested in Hire Return 10am Return*
Any other details (special times requests etc etc)
Please confirm the following: You will be required to ensure all drivers produce a DVLA check code during the week leading up to your hire. Failure to do this may result in your hire being refused without refund or a delay in starting your holiday. See FAQ page for how to generate a code. Please also confirm that you agree to pay the damages deposit of £550 during the week leading up to your hire.
Filling out this form does not constitute an agreement between Derbyshire Motorhome Hire and yourself until you receive a confirmation of booking email and we have received all of the cleared funds. Drivers should be between the ages of 27-70yrs old.
DVLA Check Code Agreement *
I will ensure that all drivers supply a valid DVLA generated check code during the week leading up to hire and I also understand that if the details do not match the terms and conditions then I will forfeit the full cost of the holiday.
I understand that a damages deposit of £550 will be taken and held by Derbyshire Motorhome Hire for the duration of the holiday and returned within 7 days after the hire period subject to deductions for damages as stated in the terms and conditions.
Terms & Conditions*
I have read and understand the terms and conditions on the contact menu.
General Site Map
CLICK IMAGE FOR CAMPSITE
LARA AVAILABILITY CALENDAR
LUKA AVAILABILITY CALENDAR
LIBBY AVAILABILITY CALENDAR
DOCUMENT ONLY UPLOAD
Website by EMWS
Back to content
Back to main menu