Confirmed Bookings Form

To check camper availability please telephone us on +353 877 555 888
or use the booking enquiry form on our webpage.

Once availability is confirmed and if you wish to make the booking
please complete the confirmed booking form below.
Apologies as we are required to ask many of these questions on behalf of our insurers.

A booking deposit is required (agreed when making the booking enquiry)
 to secure a reservation - please complete this form.

All major credit cards are securely acceptable with Paypal.

 
Please fill in your booking details in the form below
Fields marked with an *asterix are required
Booking Information - for confirmed bookings only
*Full Name:
*Email:
*Date-From:
*Date-To:
*Camper Required:
*Address:
 
 
*Town:
*County:
*Postcode:
*Phone (Home):
*Phone (Work):
Main Driver Details - Insurance Included in Hire Charge
*DOB:
*Occupation:
*Employer's Name:
*Employer's Telephone Number:
*Driving Licence No:
*Date Passed Driving Test:

*Endorsements:
if 'Yes' please specify details below
Surcharges apply - please telephone us for details -
+353 877 555 888

Yes No
Endorsement details:
Please let us know the codes and dates of any penalty points
*Have you ever been refused insurance?:
Yes No
*Have you had any road accidents in the last 2 years?:
Yes No
First Additional Driver - from €15 per day
Name:
DOB:
Occupation:
Employer's Name:
Employer's Telephone Number:
Licence No:
Date Passed Driving Test:

Endorsements:
if 'Yes' please specify details below
Surcharges apply - please telephone us for details -
+353 877 555 888
Yes No
Endorsement details:
Please let us know the codes and dates of any penalty points
Have you ever been refused insurance?:
Yes No
Have you had any road accidents in the last 2 years?:
Yes No
Second Additional Driver - from €15 per day
Name:
DOB:
Occupation:
Employer's Name:
Employer's Telephone Number:
Licence No:
Date Passed Driving Test:

Endorsements:
if 'Yes' please specify details belowSurcharges apply - please telephone us for details -
+353 877 555 888
Yes No
Endorsement details:
Please let us know the codes and dates of any penalty points
Have you ever been refused insurance?:
Yes No
Have you had any road accidents in the last 2 years?:
Yes No
Third Additional Driver - from €15 per day
Name:
DOB:
Occupation:
Employer's Name:
Employer's Telephone Number:
Licence No:
Date Passed Driving Test:

*Endorsements:
if 'Yes' please specify details below
Surcharges apply - please telephone us for details -
+353 877 555 888
Yes No
Endorsement details:
Please let us know the codes and dates of any penalty points
Have you ever been refused insurance?:
Yes No
Have you had any road accidents in the last 2 years?:
Yes No
Collection
*Please check this box if you would like to be met at Dublin Airport / Ferry Port local to ourselves and state location and approximate time below
Yes No
Additional Information
I would like to be informed of any Retro Rentals newsletters and Retro Rentals promotional offers (please check box if yes)
*I have read and understood your terms and conditions.
   

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