Australian Performance Car Hire | Tasmania | Drive an Aussie Legend today!

*Please fill in all fields on BOTH forms

Personal Details

Name:
Age: (At date of hire)
Date of Birth:
State (& Country):
Postcode:
Licence Number:
Licence Expiry Date:
Phone No:
Fax No:
Email:

Booking Details

Date from:
Date to:
Which Legends would you like to hire?
Pickup Date, Time & location:
Dropoff Date, Time & location:

*Driver Declaration (IMPORTANT!)

Our insurance company requires this information to assess your suitability to hire a Legend...

*In the past 5 years have you:-
Q1. Had your licence suspended/cancelled or reduced?	yes no
Q2. Had 3 or more insurance claim in excess of $3000 for motor vehicle damage where you as the driver were at fault?	yes no
If above answer is 'yes', please tell us the details below:
Q3. Been convicted for driving while under the influence of alcohol or drugs?	yes no
Q4. Been convicted of a criminal offence?	yes no
Q5. Been convicted of 4 or more traffic violations?	yes no
Q6. Been declined motor vehicle insurance or had special conditions applied?	yes no
Q7. Are there any other circumstances that you have not told us about that may affect our decision to hire you a vehicle?	yes no
If above answer is 'yes', please tell us the details below:
"I declare that the information above is true and correct and that I have read & understood the attached Terms & Conditions, and agree to abide by them. I understand that providing false information in the Driver Declaration will result in the cancellation of the Accident Damage Excess and I will be fully liable for any damage that occurs." *Do you accept these Terms & Condtions?	accept_yes accept_no

*Now submit it!

AUSSIE LEGENDS

PO BOX 617

South Riana, 7316

Tasmania.

Phone: 1800 350 220

Mobile: (0428) 405 603

Email:

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