CAR RENTAL QUOTES / BOOKINGS

[*] Denotes required fields.

CONTACT DETAILS
*Your Name []**
*Your Email Address []**
*Your Address []**
*Your Contact Phone # []**


Youngest Driver Age
PICK UP & RETURN
PICKUP	Day Month Year
Booking Time	Hour Minute AM/PM
RETURN	Day Month Year
Return Time	Hour Minute AM/PM

OR
	I Require FREE Local Delivery on the Gold Coast
Delivery Address
	I Require FREE Local Pickup on the Gold Coast
Pickup Address


VEHICLE TYPE
	2 Door Auto/Air @ $29 per day includes FREE GPS Hire
	5 Door Auto/Air @ $35 per day includes FREE GPS Hire
	4/5 Door Auto/Air @ $39 per day includes FREE GPS Hire



EXTRAS
		I Require a 0-18 Kg Baby Capsule FREE CHARGE
		Number Required
		I Require a 14-26 Kg Child booster seat FREE CHARGE
		Number Required


INSURANCE
	I wish to Reduce the insurance excess from $2000 to $1000 @ $5 per day (21-75 year olds)
	I wish to Reduce the insurance excess from $2000 to $500 @ $7.50 per day (21-75 year olds)
	I wish to Reduce the insurance excess from $2000 to $200 @ $10 per day (21-75 year olds)