HOME ENGLISH  ACCESSIBLE VAN RENTAL RESERVATION    please print as word doc & send
info [at] promotours[dot] [com]

 word doc

1th person                                                         2 nd person

FIRST/LAST NAME

TITLE COMPANY

 

 

 

STREET

 

CITY

ZIP

STATE

DATE OF BIRTH

 

 

 

 

 

                                                                                              Copy the form please if there`re  more adult drivers previewed 

PHONE

 

 

FAX

E-MAIL

ACCESSIBLE VAN DELIVERY  REQUIRED: WHEN  - DROPP OFF:                         PICK UP                     

VAN DROPP OFF


VAN PICK UP

WHERE:


WHERE:
european holiday domicile    Fon / Mobile

 

fill out please for 1th and 2nd credit card charges

50 per cent of deposit is required

1th charge:  month of booking
mm________/  2006

2nd charge: day of  van delivery
mm_____dd_____yyyy_____

Credit Card owner`s name:

VISA_for_Disabled

________EURO  Deposit

________EURO

CARD NUMBER

 

EXPIRE

 

AIRPORT     FLIGHT NUMBER       AR Time

AIRPORT  FLIGHT NUMBER            DEP Time

 

 

1. DRIVER`S

    NAME

 

REGISTRATION

N.OF LICENCE

 

2. DRIVERīS 

    NAME

 

REGISTRATION

N.OF LICENCE

 

ACCESSIBLE VAN RENTAL












I agree with the contract`s content and I authorize Promotours to charge my Credit Card as above intended 

please sign here: _________________________________Date: _______________   you may also send this form by mail to:
promotours, Schulweg 1 D - 54531 Meerfeld  Germany ++49   160 258 4789 or  ++49  6572 932905