--- Reservation Request ---

Personal Contact Information



Name
**
Address
City
Country
E-mail **



Telephone


Country Code

City Code

Number

Interested in renting the following vehicle


Auto Gear


 

Manual Gear


 

Motorbike




Reservation Information

Start Date

End Date

Total Number of Days


Do you have Standard Driver's License ?



Do you have International Driver License ?




Transfer Services Please meet me at


Phuket Airport
No thank you, I will arrive on my own.


Flight Number
Arrival Time
Arrival Date







Preferred Method of Payment


Cash Bank Transfer
JCB Master Card
Western Union
Visa
AMEX
Diners


Additional information here






     

 



23/3 Moo 1 Sakoo, Thalang, Phuket 83110 Thailand

Phone: (66) 076.205.190, 076.205.191
Fax: (66) 076.205.189
Mobile: (66) 089.724.2823

E-mail: info@phuketcarrent.com

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Contract more 3months
** discount 10% for 3rd payment **