Last Name Primary Driver:
First Name Primary Driver:
Mr.
Mrs.
Ms.
Street address:
City + State/Province:
Country + Zip / Postal Code:
Email Address:
Home Telephone incl.Area Code:
Mobile Telephone incl.Area Code:
Total Number of Passengers: incl. babies, infants, children
Car Type wanted:
Please select below the Car Type you want
Sedan Car (NOT 4x4)
Compact 4x4 Daihatsu Terios or similar
Standard 4x4 Toyota Rav4 or similar
Full Size 4x4 Toyota 4Runner or similar
7-Person 4x4 Mitsubishi Montero or similar
Delivery Day + Month:
October 2011
November 2011
December 2011
January 2012
February 2012
March 2012
April 2012
May 2012
June 2012
July 2012
August 2012
September 2012
October 2012
November 2012
December 2012
January 2013
February 2013
March 2013
April 2013
May 2013
June 2013
July 2013
August 2013
September 2013
October 2013
November 2013
December 2013
January 2014
February 2014
March 2014
April 2014
May 2014
June 2014
July 2014
August 2014
September 2014
October 2014
November 2014
December 2014
Delivery Time:
05.00 - 5am
06.00 - 6am
07.00 - 7am
08.00 - 8am
09.00 - 9am
10.00 - 10am
11.00 - 11am
12.00 - 12noon
13.00 - 1pm
14.00 - 2pm
15.00 - 3pm
16.00 - 4pm
17.00 - 5pm
18.00 - 6pm
19.00 - 7pm
20.00 - 8pm
21.00 - 9pm
22.00 - 10pm
23.00 - 11pm
24.00 - 12midnight
Delivery Location:
San Jose Airport Arrival Hall ($0 or $20 extra)
Margarita's Airport B & B ($7 extra)
NO DELIVERY TO ANY OTHER PLACE!!
Arrival Flight Number if delivered to airport
Return Day + Month:
October 2011
November 2011
December 2011
January 2012
February 2012
March 2012
April 2012
May 2012
June 2012
July 2012
August 2012
September 2012
October 2012
November 2012
December 2012
January 2013
February 2013
March 2013
April 2013
May 2013
June 2013
July 2013
August 2013
September 2013
October 2013
November 2013
December 2013
January 2014
February 2014
March 2014
April 2014
May 2014
June 2014
July 2014
August 2014
September 2014
October 2014
November 2014
December 2014
Return Time:
05.00 - 5am
06.00 - 6am
07.00 - 7am
08.00 - 8am
09.00 - 9am
10.00 - 10am
11.00 - 11am
12.00 - 12noon
13.00 - 1pm
14.00 - 2pm
15.00 - 3pm
16.00 - 4pm
17.00 - 5pm
18.00 - 6pm
19.00 - 7pm
20.00 - 8pm
21.00 - 9pm
22.00 - 10pm
23.00 - 11pm
24.00 - 12midnight
Return Location:
San Jose Airport Departures Hall ($0 or $20 extra)
Margarita's Airport B & B ($7 extra)
NO RETURN TO ANY OTHER PLACE!!
Departure Flight Number if returned to airport
CDW Insurance:
NO, I use my credit card's coverage
YES, I accept your CDW - $975 deductible
YES, I accept your CDW - $0 deductible
GPS Rental:
GPS $5 per day
NO, Thanks
YES, $5 a day, I return car to Margarita's
YES, $8 a day from car rental company
Cooler / Ice Box (Free):
NO, Thanks
YES
Surf Rack (Free):
NO, Thanks
YES
Child Safety Seat (Free):
NO, Thanks
YES, Baby Seat (0 - 2 years)
YES, Booster Seat (3 - 13 years)
Remarks / Questions:
Give detailed info about your delivery and return location (hotel name, flight numbers)