| Vehicle Requirements |
| I require a Group A
B
C
D
E
Ute
Van
8 Seater
|
| I want an automatic vehicle for
the additional au$2.50 per day.
|
| I want to hire a 50cc Zoot Scooter.
$1000 Excess Deduction (Scooters Only)
|
| Additional Accident Excess Insurance.
$750
$250
|
| I would like to rent this vehicle: Date
at
o'clock. |
| I will return it to you on the:oooDate
at
o'clock. |
| Contact Details |
| Your full name............
|
| Your address..............
|
| Country.....................
|
| Contact phone number.
|
| Your fax number.
........ |
| Your email address......
|
Licence Number. .....
|
Expiry Date.. ....
|
Date Of Birth... ...
|
" Thankyou for booking a car with Acacia Car Rentals.
We will contact you soon to confirm your booking".
|
