HOME ENGLISH  RESERVATION FORM    please print as word doc & send by eMail to:
accessible@promotours.com  - regarding further requests dial please : ++49 160 258 4789

 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 than 2 adult drivers previewed 

PHONE

 

 

FAX

E-MAIL

ACCESSIBLE VAN - REQUIRED DROPP OFF DAY:                         PICK UP DAY:                     

VAN DROPP OFF


VAN PICK UP

WHERE TO:(i.e.: airport or hotel)                                                                                   


WHERE FROM:
european holiday domicile    Fon / Mobile

 

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

50 percent of total amount as a

1th charge:  on month of booking
mm/yy    ___________

2nd charge: on day of  van delivery
mm_____dd_____yyyy_____

Credit Card owner`s name:

VISA_for_Disabled

________EURO 

________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 fax
to: promotours, Schulweg 1 D - 54531 Meerfeld  Germany ++49  6572 932938