RESERVATION FORM
Name and Surname:
E-mail:
Rental Location:
(please select one)
Prague Downtown
(Office Prague 1, V Celnici 10, Millennium Plaza - Shopping Mall)
Other
(If your request is to deliver the car, please fill in your adress, the name of your hotel or firm)
Arrival Date:
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
hour
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
It is necessary to fill in all values for the correct calculation.
Arival Airline Flight:
Return Date:
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
hour
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
It is necessary to fill in all values for the correct calculation.
Return location place:
(Requier only if different from Rental Location)
Car Type / Group:
(Please select one)
BE
Škoda Fabia
BH
Škoda Fabia Combi
CZ
Škoda Octavia
CU
Škoda Octavia Combi
S
Škoda Superb
Collision Damage Waiver:
Accept
Declined
Payment:
(Please select one)
Cash:
Credit card:
VISA
AMERICAN EXPRESS
DINNERS CLUB
MASTER CARD
EUROCARD
Notice:
