HOME ENGLISH
ACCESSIBLE VAN RENTAL
RESERVATION please print as
word doc & send
info [at] promotours[dot]
[com]
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1th person 2 nd person |
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FIRST/LAST NAME TITLE
COMPANY |
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STREET |
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CITY |
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ZIP |
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STATE |
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DATE OF BIRTH |
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Copy the form please if there`re more adult drivers previewed |
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PHONE |
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FAX |
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| ACCESSIBLE
VAN DELIVERY REQUIRED: WHEN - DROPP
OFF:
PICK UP
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VAN DROPP OFF VAN PICK UP |
WHERE: WHERE: |
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| european holiday domicile Fon / Mobile |
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fill out
please for 1th and 2nd credit card charges |
50 per cent of deposit is required |
1th
charge: month of booking |
2nd
charge: day of van delivery |
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Credit Card owner`s name: |
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________EURO Deposit |
________EURO |
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CARD NUMBER |
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EXPIRE |
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AIRPORT FLIGHT NUMBER AR Time |
AIRPORT FLIGHT NUMBER DEP Time |
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NAME |
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REGISTRATION N.OF LICENCE |
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2. DRIVERīS NAME |
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REGISTRATION N.OF LICENCE |
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| ACCESSIBLE
VAN RENTAL |
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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