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Phuket Car Rent
Reservation Request

Personal Contact Information

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I am interested in renting the following vehicle:

Auto Gear

Manual Gear

Honda Motorbike 110 CC

Reservation Information

Rental Date
Return Date

Total Number of Days

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

Transfer Services

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.

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JCB	AMEX	Master Card	Diners

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