Name & Surname* ..

Email* .....................

Telephone ..............

Mobile .....................

I am interested in:* .. Car Hire Bike Hire Taxi Service Minibus Service

Vehicle .................... To rent... Hyundai Accent Chevrolet Kalos Maruti Jeep Kia Sedona Toyota Litace Motorbike Bicycle ......... Quantity

Required from* ........ Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 .. to .. Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Hirer's age ............... (Must be 25 - 65 years old, except for bicycles)

No. of persons ......... ............. Baby seat Yes No

Required in* ..... ....... Gozo Malta

Collection from .........


Comments ................


.................................................................................. Terms & Conditions


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