Booking form

4WD cars & campers

 


PLEASE NOTE: this is a booking form and NOT an enquiry form!
Only complete this form AFTER receiving an emailed quotation from us.

The rental rates are as per the quotation.
After completing this form, click 'Send' and we will contact you shortly to confirm your booking and with instructions on payment of the booking deposit.

 Quote number :

 * reference number on previously sent quotation

 First Name:

*
 Surname: *
  Age: *
  Name passenger 1: *
  Age: *
  Name passenger 2:
  Age:
  Name passenger 3:
  Age:
  Name passenger 4:
  Age:
  Street/nr: *
  Suburb: or
  City: *
  Country: * your country of residence
  Postcode: *
  Telephone:
  Email: *) * essential *  for us to be able to contact you.
  other Email:
  Destination:
  Vehicle booked:

  From / To:
  Pick up date: *
  Drop off date: *
  Insurance:

standard option 1 option 2 ALL INCLUSIVE

  Travel to/on
  Tasmania 		YesNo
  Cape York Peninsula YesNo
  Kalumburu YesNo
  Fraser Island YesNo
  Moreton Island YesNo
  Simpson Desert YesNo
  First time in
  Australia? 		YesNo
  Please write
  your additional   comments here:

English - Nederlands - Deutsch

  Send form:

Thank you for your booking.   We will send you an email shortly with further details.
Please note that by submitting this booking form, you give us permission to secure the rental vehicle in your name and the relevant terms and conditions for that rental apply.