Car hire reservation form, rental car booking : booking rental vehicles in New Zealand


Full Name:*		E-mail:*
Address:*		Country:*
Phone:*		Mobile:
Pickup date: *		Fax:

Dropoff date:*
Time of pickup:*		Time of dropoff:*
Place of pickup:*		Place of dropoff:*
Address of pickup:		Address of dropoff:
Flight No.		Vehicle:*
Days vehicle required:*		Auto or Manual

Optional Insurance Cover

Please note:
Selecting the insurance reducer option (cost additional to the daily rental price) lowers the standard excess from NZ$1500.00 down to NZ$250.00 for the hire period.

Other Details:

Please note:
We can only accept credit cards, NOT debit cards for reservations on all vehicle rentals.

	SECURE ONLINE PAYMENT

Payment Options:
Name on Card:	( exactly as it appears on the card )
Expire Date:
Validation No.	( usually on the back of the credit card )
Card Number:
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