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 :
Vehicle Date From :
Time of Delivery :
Location of Delivery :
Vehicle Return Date :
Vehicle Return Time :
Location of Return :
1. ADDITIONAL DRIVER
Full Name :
Date of Birth :
Driving Licence No. :
Issue Date :
Expiry Date :
2. ADDITIONAL DRIVER
Full Name :
Date of Birth :
Driving Licence No. :
Issue Date :
Expiry Date :
3. ADDITIONAL DRIVER
Full Name :
Date of Birth :
Driving Licence No. :
Issue Date :
Expiry Date :
SPECIAL REQUIREMENTS
Excess Waiver EUR € 500.00 - € 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):
NONE
1
2
3
4
5
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:
NONE
Cash in Euro
Credit/Debit Card
Local Cheque