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  OnLine Reservation Request


     
1. Renter
details
Name:
  Company:  
  Nationality:  
  Passport Number: Expires:  
  Date of Birth:  
  License:

On:
Expires:

 
  Address in Cyprus:  

 
2. Delivery
details
Car(s) requested: A Number of Cars:
    B Number of Cars:
    C Number of Cars:
    D Number of Cars:
    E Number of Cars:
    F Number of Cars:
    G Number of Cars:
    H Number of Cars:
    I Number of Cars:
    J Number of Cars:
    K Number of Cars:
  Delivery: Airport 

Local/Hotel


3. Airport
Delivery/

Collection Details
Arrival From:   
    Airport:   
    Flight No.  
    Date:  
    Time:  
 
  Departure To:  
    Airport:  
    Flight no.  
    Date:  
    Time:  

4. Local Delivery
Details
Delivery Place:  
    Date:  
    Time:  
 
  Collection Place:  
    Date:  
    Time:  

5. Method of
Payment
Credit Card Type:  
    Credit Card
Number:
 
    Expires:  
    Credit Card
Holder Name:
 
  Cash      
  Other Please Specify  

 
6. Other comments    

 
   

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