HOME  RESERVATION please save as word doc to your disk, fill  it out please  &  then send it attached to your mail to accessible@promotours.com

 word doc

1th person                                                         2 nd person

FIRST/LAST NAME

TITLE COMPANY

 

 

 

STREET

 

CITY

ZIP

STATE

DATE OF BIRTH

 

 

 

 

 

Copy the form please if there`re  previewed more adult driving persons 

PHONE

 

 

FAX

E-MAIL

ACCESSIBLE VAN RENTAL required from: mm:___dd:___ yyyy:_____   to     mm:___dd:___yyyy:_____       

VAN  DELIVERY


VAN PICK UP

DROPP-OFF  WHERE TO:


WHERE FROM:

european holiday domicile    Fon / Mobile

 

fill out please for 1th and 2nd credit card charges

50 per cent of deposit is required as 1th charge

1th charge:  month of booking
mm________/  200__

2nd charge: week of  van delivery
mm_____dd_____yyyy_____

Credit Card owner`s name:

VISA_for_Disabled

________EURO  Deposit

________EURO

CARD NUMBER

 

EXPIRE

 

AIRPORT     FLIGHT NUMBER       ARR. Time

AIRPORT  FLIGHT NUMBER            DEP. Time

 

 

1. DRIVER`S

    NAME

 

REGISTRATION

N.OF LICENCE

 

2. DRIVERīS 

    NAME

 

REGISTRATION

N.OF LICENCE

 

ACCESSIBLE VAN RENTAL

 

 

 

 

 

 

 

 

 

 

 

 














I agree with the contract`s content and I authorize Promotours to charge my Credit Card as above intended 

please sign here: _________________________________Date: _______________   you may also send this form by snail mail to:
promotours, Schulweg 1 D - 54531 Meerfeld  Germany   fon: ++49   160 258 4789 or  ++49  6572 93 29 05  -  FAX: ++49 6572 / 93 29 38