{"content":[{"text":"Hire Booking Form \n If you would like to make a Camper Hire booking with Coast2Coast Campers Ltd \n please complete the below form and email it back to:- \n info@coast2coastcampers.co.uk","bbox":{"left":0.121008,"top":0.124257,"width":0.712608,"height":0.090389}},{"text":"FIRST NAME ________________________________________________________","bbox":{"left":0.121008,"top":0.241762,"width":0.754606,"height":0.01535800000000001}},{"text":"SURNAME _________________________________________________________","bbox":{"left":0.121008,"top":0.267726,"width":0.755408,"height":0.015357999999999983}},{"text":"MOBILE NUMBER _____________________________________________________","bbox":{"left":0.121008,"top":0.293667,"width":0.757873,"height":0.015357999999999983}},{"text":"EMAIL ____________________________________________________________","bbox":{"left":0.121008,"top":0.319608,"width":0.7551549999999999,"height":0.015357999999999983}},{"text":"ADDRESS __________________________________________________________","bbox":{"left":0.121008,"top":0.345549,"width":0.758639,"height":0.015357999999999983}},{"text":"_________________________________________ POST CODE ______________","bbox":{"left":0.121008,"top":0.371525,"width":0.756769,"height":0.015357999999999983}},{"text":"DATE OF BIRTH _______________________ AGE","bbox":{"left":0.121008,"top":0.397466,"width":0.440546,"height":0.015357999999999983}},{"text":"__________________________","bbox":{"left":0.576042,"top":0.397466,"width":0.302886,"height":0.015357999999999983}},{"text":"NATIONALITY ______________________________________________________","bbox":{"left":0.121008,"top":0.423406,"width":0.753693,"height":0.015357999999999983}},{"text":"DRIVING LICENCE NO_________________________________________________","bbox":{"left":0.121008,"top":0.449347,"width":0.7530190000000001,"height":0.015357999999999983}},{"text":"TYPE OF LICENCE ______________________ YEARS HELD ____________________","bbox":{"left":0.121008,"top":0.475311,"width":0.7514989999999999,"height":0.015357999999999983}},{"text":"NO. PENALTY POINTS____________________","bbox":{"left":0.121008,"top":0.501252,"width":0.410609,"height":0.015357999999999983}},{"text":"NATIONAL INSURANCE NUMBER __________________________________________","bbox":{"left":0.121008,"top":0.527193,"width":0.758707,"height":0.015357999999999983}},{"text":"Have you had any accidents or \n convictions within the last 5 years? \n Please provide details. \n Have you been refused motor insurance?","bbox":{"left":0.130685,"top":0.553704,"width":0.363795,"height":0.061562000000000006}},{"text":"Do you have any disabilities, mentally or \n physically? Do you suffer from diabetes, \n heart conditions or fits? Please provide \n details.","bbox":{"left":0.130685,"top":0.630979,"width":0.354533,"height":0.06128900000000004}},{"text":"DATE OF PICK UP_________________ DATE OF DROP OFF ____________________","bbox":{"left":0.121008,"top":0.709122,"width":0.751438,"height":0.015357999999999983}},{"text":"NUMBER OF NIGHTS _______________","bbox":{"left":0.121008,"top":0.735063,"width":0.34408299999999997,"height":0.015357999999999983}},{"text":"DESTINATION _______________________________________________________","bbox":{"left":0.121008,"top":0.767869,"width":0.757423,"height":0.015357999999999983}},{"text":"NO. IN PARTY_______________________________________________________","bbox":{"left":0.121008,"top":0.79381,"width":0.754231,"height":0.015357999999999983}},{"text":"NO. OF DRIVERS _____________________________________________________","bbox":{"left":0.121008,"top":0.81975,"width":0.757456,"height":0.015357999999999983}},{"text":"OPTIONAL EXTRAS TO HIRE (PLEASE HIGHLIGHT OR CIRCLE IF REQUIRED) \n ADDITIONAL DRIVER - £40 SAT NAV - £25 \n OUTDOOR CAMPING CHAIRS & TABLE - £35 GAS BOTTLE - £40","bbox":{"left":0.121008,"top":0.845691,"width":0.639213,"height":0.048456000000000055}}],"images_bbox":[{"left":0.520413,"top":0.042046,"width":0.358787,"height":0.08141}],"images_bbox_not_text_overlap":[{"left":0.520413,"top":0.042046,"width":0.358787,"height":0.08141}]}