budget car rental

request form - budget car rental

please fill in the following form to request car rental at the budget prices posted. 

car rentals quote

All fields are required unless otherwise stated.

Destination country:       

Destination airport:        

Arrival date:                       Arrival time:    

Flight number:               

Return date:                       Check-in time: 

Car group/type:            

Number of days hire:    

No.of drivers (2nd free):

Child seat(s):                 not required unless you wish child seats rental

Roof rack (yes/no):       tick if you require roof rack rental

Border exit?                  tick if you wish to go outside the country of car rental

Price quoted:                 OUT OF HOURS?

Title:                              Name:

Address:

 

Country:                        

Postcode:                      

Home telephone:           

Work/mobile no:           

email:

please retype email:

notes:


Credit card details

If you are going to fill this in please do not send it by email but rather print the form off and send it by fax.

Card type:                  

Card owner as above? if not please fill in.....

Card owner's name:    

Card owner's address:

Card owner's country: 

Card owner's postcode

If it is a Switch card enter the card issue number here

Your full credit card number 16digits

Expiry date:                 

CV3 (switch)              

Amount & currency     

Please note: this car rental offer is made to you by Economy Car Hire Ltd. Co. reg. no. 4507386. Please read the disclaimer (mariamilani doesn't accept liabilities related to car rental or general information we may provide as we do so in good faith).

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This page about budget car rental was written by Giovanni Milani-Santarpia for www.mariamilani.com : Rome apartments, properties in Italy and budget car rental