Car Hire Request Form (Secure Site)

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Car Hire Rates All your questions answered Insurance E - mail us

Please fill in your details and requirements and then press submit.  We will then process your request and answer back to you as soon as possible. (All Boxes with an * must be filled in)

Name:* Surname:*
Address: Address:
Area: Town:
County:    
Country: Post Code:
Tel no:* Fax No:
E - mail :*    
 Car Type:*  Number of Cars:*
Rental starts:*
Day Month Year

Time:* Location:
 Rental Ends:*
Day Month Year

Time:* Location:
 Duration:* (3 DAYS MINIMUM)    
Please advise us your arrival and departure flight details if you would like the car delivered and (or) collected at the airport
Arrival Flight No:    Arrival Time:
Departing Flight: Departure Time:
Please advise us your Accommodation details:
Resort:    Accommodation Name:
Tour operator:    
Please advise us your Ferry Sailing details if you would like your car delivered and (or) collected from Corfu Port.
Ferry Company:    Boat Name:
Arriving From: Arrival Time:
Ferry Company:    Boat Name:
Departing From: Dep. Time:
Is this a definite booking or just an enquiry?*

Please fill in this section only if this is a definite booking

Please fill in price as per our pre booked rates: 

  Summer 2007 rates

If this is a confirmed reservation at this stage a deposit equal to 30% of the total value is  required, which can be paid by credit card at no extra charge.  Please fill in your credit card details below.  (This is a secured site)
Type of card: Name on Card:
Card number: Card security code:
Exp. Date: Start date: (if any)
Amount to be debited:  
Please advise us of all drivers details in order to make the delivery process much easier for you.
  1st DRIVER    
Name & Surname   Licence no:
Date Of Birth:  dd/mm/yy Licence Holder for: years
  2nd DRIVER    
Name & Surname   Licence no:
Date Of Birth:   dd/mm/yy Licence Holder for: years
 

Please include below any comments you may have or any requests which are not included above and that would help us in providing you with a better service.

 

 
  


 

 

 

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