General Collection Booking Form

Please note: All fields are required, except Any other information/requests
Name:
Date of booking:
Time of booking:
Collection address:
Destination address:
Contact number:
Email address:
What type of vehicle would you like? A guide is available here. (Please note: an MPV is charged at a higher rate)	If MPV (Please state number of passengers & luggage below in any other information)
Any other information/requests?

01784 47-11-11

Gemini Cars (Egham) Ltd
50 Station Road
Egham
Surrey
TW20 9LF

Tel: +44 (0) 1784 47 11 11
Fax: +44 (0) 1784 43 43 11