Rent-a-car Quater d.o.o.
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VEHICLE RESERVATION FORM
Print out and send to fax +385 (1) 6153-666
PERSONAL DATA:
Name and surname: .......................................................................
Address: .......................................................................
  .......................................................................
City / place: .......................................................................
Telephone: .......................................................................
Fax: .......................................................................
E-mail address: .......................................................................
Birth date: .......................................................................
Licence reg. number: .......................................................................
Issued in (place) and at (date): .......................................................................
Validity date: .......................................................................
VEHICLE TYPE (round one):
Personal cars Furgon vans
1.) Fiat Punto 1.) Fiat Ducato Furgon
2.) Opel Astra 2.) VW Caravelle
3.) VW Passat 2.0 TDI
RENTAL DATA:
Rental start date:  ................... Rental start time:  .....................
Rental end date:  ................... Rental end time:  .....................
DEPOSIT PAYMENT (round one):
For reservation purpose of the specified vehicle You can charge my credit card for the amount of 30% of the total rental price.
   Visa    Mastercard    Cheque
   Diners    Amex    Another
Card number:  ............................... Validity date:  ................................
Card owner's name: Signature:
................................................. ........................................................
Remarks:
............................................................................................................
............................................................................................................
hrvatski english
  Vukovarska 54
  HR - 10000 Zagreb
  tel/fax: +385 (1) 6153-666
  mob: +385 (98) 491-019
  e-mail: info@quater.hr