Tuesday 6th January 2009

MINIBUS BOOKING

Name of Organisation:
Address:
Post Code:
Telephone:
Contact Name:
Driver's Name:
Type of Minibus Required: (Both are wheelchair accessible)
Midas Certificate Number:
Email Address:
Request Date for Booking:
Collection Time:
Return Date:
Return Time:

Privacy note:
When you supply us with your email address, it's just so we can reply to your message.

We do not sell nor give away any email address that someone uses for correspondence with us. Thanks!

Voluntary Action Lewis, 30 Francis Street, Stornoway, Isle of Lewis, HS1 2ND
Tel: 01851 702632 Fax: 01851 703035 Email: enquiries@valewis.org.uk
IIP and SQMS approved
A Charitable Company Limited by Guarantee No. 164323
Scottish Charity No. SCO15053

This website was funded by the New Opportunities Fund New Opportunities Fund Logo