to enable us to complete the rental agreement please supply
all the required information below
THE HIRER
RENTAL DETAILS
name
start date
home address
car collection time
daytime tel
arrival flight
please select...
FLYBE Birmingham BE1981
FLYBE Edinburgh BE1255
FLYBE Exeter BE1793
FLYBE Leeds Bradford BE1402
FLYBE London Gatwick BE1548
FLYBE Southampton BE1645
RYANAIR Bristol FR6026
RYANAIR Brussels FR1218
RYANAIR East Midlands FR1682
RYANAIR Liverpool FR9918
RYANAIR Stansted FR8592
RYANAIR Stansted FR8006
RYANAIR Stansted FR1077
TRANSAVIA Amsterdam HV5783
Other (specify below)
evening tel
end date
mobile
car return time
Tel. for payment
please choose...
daytime phone
evening phone
mobile
departure flight
please select...
FLYBE Birmingham BE1982
FLYBE Edinburgh BE1256
FLYBE Exeter BE1794
FLYBE Leeds Bradford BE1401
FLYBE London Gatwick BE1549
FLYBE Southampton BE1646
RYANAIR Bristol FR6027
RYANAIR Brussels FR1219
RYANAIR East Midlands FR1683
RYANAIR Liverpool FR9919
RYANAIR Stansted FR1078
RYANAIR Stansted FR8593
RYANAIR Stansted FR8007
TRANSAVIA Amsterdam HV5784
Other (specify below)
email
start/end location
Bergerac airport
Angouleme airport
Other
if 'other' use additional information box to supply details
address in france
contact tel in france
preferred car option
Group A
Group B
Group C
Group D
date of birth
extras required:
nationality
child seats (birth-2yrs)
none
One: 20 euros per hire
Two: 40 euros per hire
Three: 60 euros per hire
driving licence no
child seats (2 - 4yrs)
none
One: 20 euros per hire
Two: 40 euros per hire
Three: 60 euros per hire
issue date
child booster seats
none
One: 10 euros per hire
Two: 20 euros per hire
Three: 30 euros per hire
passport/id no
roof rack
No roofrack
Roofrack: 20 euros per hire
ADDITIONAL DRIVER
additional drivers
none
One: 25 euros per hire
Two: 50 euros per hire
Three: 75 euros per hire
name
buggs bonus insurance pack
Not required
Required: 9.00 euros per day
date of birth
*see details of buggs bonus insurance
here
nationality
driving licence no
ADDITIONAL INFORMATION:
issue date
passport/id no
NOTE: for second/third additional drivers
please use 'additional information' section
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