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vehicles booking

type of the vehicle: *

  FORD Fiesta                    

  FORD Focus Sedan         

  FORD GALAXY             



  FORD Focus Hatchback   

  FORD Focus Combi         

 

 
rent from: *
date:
       time: 
location where the vehicle will be lifted:        
 
rent to: *
date:
       time: 
location where the vehicle will be returned:
 

topic: *

in form: Reservation

 

given name: *

in form: John

surname: *

in form: Bush

telephone number: *

in form: +33 0870 907 5818

e-mail: *

in form: j.bush@emotioncars.sk

adress (street, city, state): *

in form: Faubourg st antoine 26, Paris, France

post code: *

in form: 75012

series and number of ID card: *

in form: SD 123456
series and number of driving licence: *

in form: SE 987654

birth date: *
..
in form: 01.04.1974

* entries are compulsory

 

the others:

a jurney out from teritory of Slovak Republic
another requirement (specified lower in notes)

notes:

in text do not use diacritic, please