EmailMe Form - GEOCACHING EVENT BOX LOAN APPLICATION FORM

Your name: *

First Last

Your event information: *

Please insert your event name and GC code

Your event date or dates: *

A single date in the following format: day / month / year or day/ month / year TO day / month / year

Your email address: *

Your contact telephone no: *

The address I would like the event box delivered to: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

I would like to use the event box from the following date: *

MM / DD / YYYY

Please note: Delivery can take up to 5 days so we endeavour to dispatch the Event box 5 days prior to your event. If this is not possible we will contact you to arrange an alternative delivery schedule

I will be returning the event box on the following date: *

MM / DD / YYYY

Please note: Return delivery can take up to 5 days so please bear this in mind when returning the Event box.

Courier cost:

Cost of delivery

cost of return to NEGS

I agree to cover the cost of both delivery and return of the event box. (I will be invoice for delivery prior to the box being dispatched). An insurance of a of £60 must be added to the box to cover any courier damage.

Pick up in person:

I will be collecting in person from NE Geocaching Supplies. Please add date and time - we will confirm.