Form for Bookings

If you whish to make a booking, please fill out the questionnaire. Please be rigorous in what respects to dates and hours off arrival and departure. If you wish visualize our fleet and/or tariff you my do before booking.
You will later receive an e-mail to confirm your booking.

The fields mark with (*) are requested.

Please fill the fowling fields:

Name*

Last Name*

Title

Company

Address

Address Cont.

City

ZIP code

Country

Telephone*

Fax

E-mail*

URL

Arrival island*:

Number of flight:

Air Company:

Hotel were you'll be staying:

Other dwelling place:

Chosen vehicle to rent *:

Delivery place*:

If other place indicate which :

Pick up day*:

Hour*:

Drop off day*:

Hour :

Payment form* : (Just for booking record. Will not be solicited for on-line payment)

Visa
Mastercard
American Express
Dinners Club
Other

Comments :

Name*
Last Name*
Title
Company
Address
Address Cont.
City
ZIP code
Country
Telephone*
Fax
E-mail*
URL

Form for Bookings

Ilha Verde Copyright © 1999 Ilha Verde. All rights reserved. Revised: April 11, 2006

Ilha Verde
Copyright © 1999 Ilha Verde. All rights reserved.
Revised: April 11, 2006