Event Mobility

*Advance Booking Form.* *Please PRINT* *this form and send it with your payment (see below)* Telephone queries: 01386 725391(Manned part-time – office hours only) Extra Info: Event Mobility will be located in car park North 1B
This form will be returned to you and must be produced on collection of your scooter

Event:
1st choice date:
2nd choice date:
ETA:
	Units not collected by 1pm will be released

Booking Donation Per Day (please tick)
Electric Scooter £20.00 Manual Wheelchair £ 10.00

Name (please say Mr or Mrs etc.):

Address:

Postcode:

Telephone:

Weight if over
18 stone:

Please send form,together with your cheque/postal order and
a Stamped Addressed Envelope to:

Event Mobility,8 Bayliss Road,Kemerton,Tewkesbury,Glos GL20 7JH

No confirmation unless a SAE is sent with booking form

Whilst the charity gives instruction on the use of its equipment,YOU are responsible,not only for your own safety,but also for that of others. Please read the do's and don'ts below before signing confirmation of your acceptance of all conditions of loan prior to your visit.If in doubt, please ask.

Signature:

Event Mobility,8 Bayliss Road,Kemerton,Tewkesbury,Glos GL20 7JH

Scooters will not be
released before 9am

ALL scooters MUST be returned by 5pm unless otherwise advised

Should you require information on legacies please tick
As a charity, we will claim Gift Aid on your donation unless you tick this box as a non tax payer
Data Protection --please tick this box if you do not wish to receive literature on disability products

Registered Charity No.1074608

For DO'S and DON'TS Click here