-:: Chariot Safaris - Reservations

Reservations..................................................................................................................

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Car

To help us respond to your request quickly, please ensure that you have completed all the boxes marked with an asterisk (*)

Car Hire Details
Class of Car *	:
Preferred Car *	:

IMPORTANT: Please note there is a minimum 5 day rental period. If you wish to have your car delivered to your accommodation please specify the delivery and collection TIME below.
Start Date *	: at
Finish Date *	: at

Pick Up Location *	:
Drop Off Location *	:

Baby Seats	: Number requested
Booster Seats	: Number requested
Roof Bars	: Number Requested

Other Requirements	: Please enter any additional requirements here...

DRIVER DETAILS
Title	:
First name *	:
Surname *	:
Drivers Licence *	:
Passport No. *	:
Street	:
Town	:
Post Code	:
Country	:
E-mail *	:
Tel. No.*	:
Fax. No.	:

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