Vehicle & Rental Period
Total rental days: —
Driver Information
Co-Driver (if applicable)
Fuel Level at Collection
E
⅛
¼
⅜
½
⅝
¾
⅞
F
Selected: ½
Existing Damage
B – Collision Damage Waiver
Driver Signature – Insurance Choice
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Minor Offences – Liability
I acknowledge liability for any prescribed offence committed with respect to this vehicle during the currency of this hiring agreement.
Signature of Hirer
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⚠ Important Notes
- A Police Report is mandatory for all accidents.
- Smoking in this vehicle is strictly prohibited. A charge of €250 will apply in case of violation.
Pricing
Rental /day (€)
CDW (€20/day)
Not selectedBooster / Car Seat (€10/day)
Not included
Sub Total (€)€0.00
Hotel Delivery (€15 one-off)
Not selected
Hotel Collection (€15 one-off)
Not selected
Discount
−€0.00
TOTAL DUE€0.00
Payment Method
Credit card details required as security. Cardholder authorises owner to debit VISA / MASTERCARD / AMEX CARD / OTHER CARD with any delayed or amended charges.
Cardholder Signature
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Owner Representative
Signed
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