Car Rental - Reservation Form

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Driver Information Form

Full Name of Hirer :  

Date of Birth :

 
Overseas Address :  
Telephone Number :  
Fax Number :  
Mobile Number :  
E-Mail Address :  
     
Address in Cyprus :  
     
Nationality :  
Passport No. :  
Issue Date :  
Expiry Date :  
     
Driving Licence No. :  
Issue Date :  
Expiry Date :  
     
Arrival Date :  
Arrival Time :  
Arrival Flight Number :  
Departure Date :  
Departure Time :  
Departure Flight Number :  
     
Vehicle Category :   OPEL ZAFIRA A/C
Vehicle Date From :  

Time of Delivery :  
Location of Delivery :  
Vehicle Return Date :  
Vehicle Return Time :  
Location of Return :  
     
ADDITIONAL DRIVER    
Full Name :  
Date of Birth :  
Driving Licence No. :  
Issue Date :  
Expiry Date :  
     
SPECIAL REQUIREMENTS    
Excess Waiver EUR € 300.00 - € 1500.00
(optional EUR € 4.00 per day - minimum EUR € 20.00 per rental ):
  Yes    No
Tyres & Windscreen & Oil Sump
(optional EUR € 2.00 per day - minimum EUR € 10.00 per rental):
  Yes    No
Baby Seats (Free of Charge):  
Child Age :  
Fuel on Delivery:
We can put as much you prefer, we will charge you and return it empty,
if NO, we deliver it as it comes and return it back at the same level:
  No    20 Euros    30 Euros 40 Euros Full Tank
Select Payment Method: