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
please select
January
February
March
April
May
June
July
August
September
October
November
December
,
Drivers Licence since:
minimum 1 year
Vehicle Typ:
please select
TOYOTA HILUX DOUBLE CAB.2.7
TOYOTA HILUX SINGLE CAB.2.4
TOYOTA Condor
VW MICROBUS
TOYOTA TAZZ (incl. A/C)
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
)