Please print this form and and fax it to : Reservations - 52 (998) 892-25-59

Booking


Title:*
First Name:*
Surname:*
Street Address:
City:
State / Province:
Zip / Postal Code:
Country:
Phone (country+area):
Fax
(country+area):
Email:*
Type of Vehicle:
 

Pick Up Time:
Pick Up Date:
   
Drop Off Time:
Drop Off Date:
   
Daily rate we quoted you (from enquiry response):

Number of People Traveling:
No Of Drivers:
Age Of Each Driver (Minimum age 25 years):
1  2  3  4  5 
Age Of Each Child:
1  2  3  4  5 
 
Flight Arrival Details:
Flight Departure Details:
What is your intended route?
Do you require either of the following:
Car seat:
Chairs:

Name On Credit Card:
Credit Card Number:
Credit Card Expiry Month/Year:
Signature:

Note:

The Credit Card will be used only to guarantee your reservation. When you close your account, you can pay in cash or with another valid option.
We require a minimum deposit of US$500.00to guarantee your reservation.
There are charges for cancellation.
The confirmation of your reservation will be sent to you by fax, phone or e-mail.
I have read and understood all terms and conditions of the reservation and agree.

Additional Comments: