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Waimate Rotary Community Trailer Booking Request
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* Indicates required question
Your name
*
Your answer
Contact email address
*
We'll use this email address to confirm your booking
Your answer
Organisation name
*
Choose from the drop-down list. If your organisation name isn't on the list you need to contact the Waimate Rotary Club to apply to become a registered user.
Choose
Riding for the Disabled
Waimate Altrusa Club
Waimate High School
Your booking code
*
This is the code assigned to your organisation to authorise booking requests
Your answer
Contact phone number
*
Your answer
Date to pick up the trailer
*
MM
/
DD
/
YYYY
Time to pick up the trailer
*
Enter times in 24 hour format e.g. 08:30 or 16:30 (You can't use "am" or "pm")
Time
:
AM
PM
Date to return the trailer
*
MM
/
DD
/
YYYY
Time to return the trailer
*
Enter times in 24 hour format e.g. 08:30 or 16:30 (You can't use "am" or "pm")
Time
:
AM
PM
Purpose for the loan
*
Your answer
Question or comment
Your answer
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