Please print, complete and return this reservation request by facsimile to 1300 757 682 or International >> +61 2 9505 8599
Please reserve a Jeep Wrangler Convertible with Auto transmission at the agreed rate I have noticeed below.
| Please notice >>>> | 1 to 2 Days AUD per day |
3 to 4 Days AUD$192.00 per day |
5 Days Plus AUD$171.00 per day |
Weekend Package (Fri 4pm-Mon 10am) AUDN/A per weekend |
Other Options: ____ Additional Driver/s @ $25.00 per day $________ Delivery Charge $________ One-way Charge | ||||
Pickup on:____/____/______at_______AM/PM Return on:____/____/______at_______AM/PM
Pickup Address: Delivery in Brisbane, Brisbane Airports & Hotel Delivery, Queensland
Preferred Method of Confirmation: _________________________________ SMS - Mobile | Email | Facsimile
Reservation Conditions
♦ To rent the Jeep Wrangler Convertible, the driver/hirer and additional driver's must be 21 years of age or older.
♦ Security Bond AUD$500 Credit Card ONLY
♦ 150klm Free included per day, N/Aklm Free for weekend package.
♦ Excess kms are charged at 33 cents per klm.
♦ Insurance is included, Excess is AUD$2,750
♦ Additional driver charge $25.00 per day - must be 21 years of age or older.
♦ One rental day is equivalent to 24 hours
Drivers Detail Are As Below:♦ Security Bond AUD$500 Credit Card ONLY
♦ 150klm Free included per day, N/Aklm Free for weekend package.
♦ Excess kms are charged at 33 cents per klm.
♦ Insurance is included, Excess is AUD$2,750
♦ Additional driver charge $25.00 per day - must be 21 years of age or older.
♦ One rental day is equivalent to 24 hours
Full Name:_________________________________________________Date of Birth:_____/_____/19_____
Address: ____________________________________________________________________________________________
Country:__________________________ Contact Phone: (_______)_____________________________Home/Work/Mobile
Licence Number:___________________________________________ Expiry Date:_____/_____/______
Licence issued in State/Country:______________________________
Membership ID:______________________________ (VIP Gold Card Members only)
Payment Details:Address: ____________________________________________________________________________________________
Country:__________________________ Contact Phone: (_______)_____________________________Home/Work/Mobile
Licence Number:___________________________________________ Expiry Date:_____/_____/______
Licence issued in State/Country:______________________________
Membership ID:______________________________ (VIP Gold Card Members only)
Credit Card Number: ____________________________________________ Expiry Date:_____/_____ Card CVV:_____
The CVV is the last number (usually 3 digits) in the signature panel on the back of the card more info...
Credit Card Type: Mastercard Visa Card American Express Diners Card
The CVV is the last number (usually 3 digits) in the signature panel on the back of the card more info...
Credit Card Type: Mastercard Visa Card American Express Diners Card
I hereby agree that:
♦ The rates shown above do not include petrol
♦ The total rental value is calculated using the rate noticeed above x the quantity of days plus other options noticeed.
♦ Whilst every effort is made to satisfy your preference, a particular colour can not be guaranteed.
♦ I authorise for my credit card above to be charged for a non-refundable deposit upto 20% of the total rental value by Sports Car Rentals Online to secure this reservation.
♦ I authorise for my credit card above to be charged for the rental balance of the total rental value by Sports Car Rentals Online or it's affilliate.
♦ A 4% credit card charge is applicable to non-refundable deposits only when paid by American Express or Diners Cards.
♦ A rental bond of AUD$500 will be provided by me at the time of rental by credit card pre-authorisation.
♦ By submiting this form, your reservation for the Jeep Wrangler Convertible is confirmed pending availability.
♦ I have read the "Reservation Terms & Conditions" provided on the Sports Car Rentals Online website, specifically for the
Jeep Wrangler Convertible in Brisbane, Queensland with the record id=178 and agree to proceed with a reservation.
Card Holder Signature _________________________ (Date)______________________
♦ The rates shown above do not include petrol
♦ The total rental value is calculated using the rate noticeed above x the quantity of days plus other options noticeed.
♦ Whilst every effort is made to satisfy your preference, a particular colour can not be guaranteed.
♦ I authorise for my credit card above to be charged for a non-refundable deposit upto 20% of the total rental value by Sports Car Rentals Online to secure this reservation.
♦ I authorise for my credit card above to be charged for the rental balance of the total rental value by Sports Car Rentals Online or it's affilliate.
♦ A 4% credit card charge is applicable to non-refundable deposits only when paid by American Express or Diners Cards.
♦ A rental bond of AUD$500 will be provided by me at the time of rental by credit card pre-authorisation.
♦ By submiting this form, your reservation for the Jeep Wrangler Convertible is confirmed pending availability.
♦ I have read the "Reservation Terms & Conditions" provided on the Sports Car Rentals Online website, specifically for the
Jeep Wrangler Convertible in Brisbane, Queensland with the record id=178 and agree to proceed with a reservation.
Card Holder Signature _________________________ (Date)______________________