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Reservation Request

Phuket Car Rent

Personal Contact Information

Telephone

Country Code

City Code

Number

I am interested in renting the following vehicle:

Car Preference

Gear Preference:

Automatic

Manual

Either

Honda Motorbike 110 CC

Reservation Information

Rental Date
Return Date

Number of Days

Drivers Age

Male

Female

Do you have Standard Driver's License ?	Yes No
Do you have International Driver License ?	Yes No

Transfer Service
Please meet me at:

	Phuket Airport
	Other (please describe below)

Flight Number

Arrival Time

Arrival Date

No thank you, I will arrive on my own.

Preferred Method of Payment:

Cash	Western Union	Bank Transfer	Visa
JCB	AMEX	Master Card	Diners

Please type any additional information or requests here:

Thank you,
We will check availability and get back to you with deposit, payment and
cancellation information.