Bush-Veld Car Hire

Please complete this form
RESERVATION : ENQUIRY :

Name:
E-mail:
Street Address:
Town:
Telephone:
Facsimile:
Date of Birth:
minimum age 21 years
,
Drivers Licence since:
minimum 1 year
Vehicle Typ:
Number of people:
Roof tent: yes no
Camping Equipment: yes no
Rental as from:
Return on:
Airport transfer: yes no
Flight arrival:(Date/Time)
with Airline:
Others:
 
(Formular-Service vom Formular-Chef)