AVENTURA CAR RENTAL FAX RESERVATION FORM
WHAT KIND OF SCOOTER/MOTORBIKE WOULD YOU LIKE TO RESERVE? Please Select... Yamaha Crypton Peugeot Trekker 50cc Peugeot Trekker 100cc Aprilia 125cc Yamaha 125cc SYM 125 Yamaha Classic Yamaha Tricker Bugxster 150cc
HOW MANY DAYS WILL YOU BE RENTING? Please Select 3 DAYS 4 DAYS 5 DAYS 6 DAYS 7 DAYS 8 DAYS 9 DAYS 10 DAYS 2 WEEKS 3 WEEKS 4 WEEKS MORE THAN 1 MONTH
YOUR ADDRESS/HOTEL IN IKARIA:
YOUR TELEPHONE CONTACT IN IKARIA:
In order to reserve your rental car, AVENTURA requires a Euros 100 deposit payable by credit card. The balance payment is due upon pick-up of the vehicle. Upon sending this form you will receive written confirmation of your reservation by either email, fax, or telephone.
CREDIT CARD INFORMATION:
TYPE OF CARD: VISA MASTER CARD AMEX DINERS EUROCARD EXPIRATION MONTH: --------- JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER YEAR: ---- 2009 2010 2011 2012 2013 2014
NAME AS IT APPEARS ON THE CARD:
CARD NUMBER: 3 DIGIT SECURITY #:
I AUTHORIZE AVENTURA CAR RENTAL TO CHARGE MY CREDIT CARD THE AMOUNT OF 100 EUROSAS A DEPOSIT TOWARD THE ABOVE RENTAL. YES NO
SIGNATURE: COMMENTS: