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*=required fields *Name:
*Email:
*Phone:
(include area code)
Company Name:
Drivers age/s: Driver 1:
Driver 2:
Type of Vehicle Required:
1. Hyundai Getz 3 Door Hatch
2. Hyundai Accent 3 Door Hatch
3. Hyundai Accent 5 Door Hatch
4. Hyundai Elantra 4 Door Sedan
5. Mitsubishi Magna 4 Door Sedan
6. Toyota Tarago 4 Door Mini-Bus
Collection Date:
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Month
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Dec
Year
2004
2005
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2008
Collection Location:
location
Domestic Airport
International Airport
Hotel/Motel/Accomm.
Other - (indicate in comments box)
Return Date:
Day
1
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Month
Jan
Feb
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Aug
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Oct
Nov
Dec
Year
2004
2005
2006
2007
2008
Return Location:
location
City Centre - Belmont Office
Domestic Airport
International Airport
Hotel/Motel/Accomm.
Other - (indicate in comments box)
I am staying at:
Intended travel zones:
Further Comments:
ph: 08 9479 4900 fax: 08 9479 1537
Email:
hire@citycar.com.au
