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PERSONAL INFORMATION
*
Full Name
Permanent Address
*
Tel. No.
Mobile Phone
*
E-Mail Address
*
Date Of Birth
Day/Month/Year
Fax No.
CAR RENTAL INFORMATION
*
Car Model
A1. Chevrolet Matiz
B1. Fiat Panda
B1. Hyundai Prime
B2. Toyota Aygo
B3. Renault Clio
B3. Grande Punto
B3. Nissan Micra
C. Suzuki Swift
C. Renault Thaliat
C. Toyota Yaris
D. Renault Megane Scenic
E. Hyundai Accent Automatic
A2. Chevrolet Matiz - Open
F. VolksWagen Beetle
F. Renault Megane Cabrio
G1. Suzuki Jimny Cabrio 4x4
G2. Suzuki Vitara Cabrio 4x4
G3. Kia Sportage Cabrio 4x4
H1. Fiat Multiplan
H2. Fiat Dublo
H3. Fiat Scudo
H4. Hyundai H1
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Pick Up Date
Day
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Month
January
February
March
April
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July
August
September
October
November
December
Year
2006
2007
2008
2009
2010
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Pick Up Time
Time
00:00
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07:00
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19:00
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22:00
23:00
Delivery Place
Hotel
Airport
Port
Other
Please state the address of the delivery location
*
Drop Off Date
Day
01
02
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31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2006
2007
2008
2009
2010
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Drop Off Time
Time
00:00
01:00
02:00
03:00
04:00
05:00
06:00
07:00
08:00
09:00
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
21:00
22:00
23:00
Collection Place
Hotel
Airport
Port
Other
Please state the address of the collection location
Other Comments
