regular user acceptance

 

use this form if you have hired within the last 18 months as we already have your details on file

please advise any changes in the 'additional information' box below

 

THE HIRER

Full Name

tel for payment

email

 

ADDITIONAL DRIVER

name

date of birth

nationality

driving licence no

Driving licence issue/start date

passport/id no

RENTAL DETAILS

start date
car collection time
end date
car return time
start/end location
 

CAR DETAILS

car option
 

OPTIONAL EXTRAS

child seats (birth-2yrs)
child seats (2 - 4yrs)
child booster seats
additional drivers
sat. nav. system
buggs bonus excess waiver pack
(see details of buggs bonus excess waiver here)

buggs cancellation cover
(see details of buggs cancellation cover here)

 

ADDITIONAL INFORMATION

 
Please Confirm:
All drivers have held full driving licence for a minimum of 3 years:
You accept the Terms and Conditions:

 

 

 

 

 

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