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Reservation Form

Are you 25 years of age and older?

Yes

No

Have you possessed a driver’s license for 2 or more years?

Yes

No

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Parish

Zip Code

Country

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Email

Phone Number

Rental Choice

– Select –Toyota PassoHonda FitSuzuki IgnisHonda Vezel

Picture of Front Driver’s License

Choose Image

Currency of Payment

– Select –ECUSCADPoundsBBDEuroTTDYEN

Date of Pickup w/ Time

Date of Return w/ Time

Renting Day Total

Safety Deposit

$

Payment Total

$

I understand by selecting ‘Yes’, I am agreeing to pay the total amount plus direct deposit for the rental of this car in the form of cash, debit card or credit card?

Yes

No

If you have an expired driver’s license, do you vouch to present a valid license upon arrival?

Yes

No

My license is up to date

Will you be the sole driver of this rented vehicle?

I am the sole driver

I am not the sole driver (Upload Front License of others above)

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