Thank you for choosing Captain Billy's 4WD Hire for all your requirements. Our friendly and efficient team will confirm your vehicle rental booking within 24 hours. Please ensure you complete the information required in the online Secure Payments page to complete your booking request.

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Your name Your e-mail   Email addresses must be included and correct to receive a response   Quotation Number Q- (if applicable)   Address City Address2 Country State Zip Phone Fax Driver's licence No Country licence issue Date licence issue Expiry date Date of birth

Vehicle Tick Vehicle Type bush ranger bush camper kimberley bush kamper kimberley kamper mariner pack

excess reduction $20 $35 Please note that excess reduction is completely optional and can be decided upon collection of your vehicle.

optional accessories Booster Seat $25 1 2 3 4 5 6 Personal Kit (Linen & Bedding) $38 per person per rental   Child Seat $25 1 2 3 4 5 6 Tent $75 per rental   High Chair $25 1 2 3 4 5 6 Picnic Table $22 ea per rental   4WD Outback Safety Kit $95 per rental 1 2 3 4 5 6 Outdoor Chair $12 ea per rental   Satellite Phone $17 per day plus call costs.   Fan Heater $10 per rental

Travel Itinerary

Start Location Cairns Finish Location Cairns Pick up Time 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm Drop off Time 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm Arrival Flight# Departure Flight#

Please give us an indication in the box below where you will be travelling:

for example: e.g Around the Hobart area e.g Touring all of Tasmania and returning to Hobart

No of Adults 01 02 03 04 05 06 07 08 09 10 No of Children 01 02 03 04 05 06 07 08 09 10

Start Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2010 2011 2012 2013 2014 2015 Finish Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2010 2011 2012 2013 2014 2015

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