Hotel Thailand Car Rental Service

     

Reservation Form

Your Details:

First Name:
Last Name:
Email:
Address:
Phone:
Fax:

Renter's Age:

Pickup Date:

Day
 Month
 		Year
 		AM/PM
 Time
 Flight Number

Dropoff Date:

Day
 		Month 
 		Year 
 		AM/PM
 		Time
 Flight Number

Intended Itinerary:

Pick-up location in Thailand:
Please specify more detail of location such as hotel name and phone number (if any):
Drop-off location in Thailand:
Please specify more detail of location such as hotel name and phone number (if any):
Driving License No. :    Expiry Date :

Type of vehicle desired:

Special Requirements:

Baby Seat
Street Directory

Other Requests

(Ask about our free delivery and pickup.)

Number of people travelling:

Adults:

Credit Card Details to Guarantee 1 day of reservation to debit:

Credit Card No:

Credit Card Type:

Card Holder Name:

Please advise the last three-digit number or four digit number (for AMEX) appearing on signature panel (if any) : (See example)

Expiry Date: / (dd/yyyy)

If you encounter any difficulties sending your booking details through this form, you may print a copy of our credit card charge form. Once complete, please fax the form back to us at (662) 502-0757,(662) 962-2536 or call us at (662) 100-8010
 

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