FORM

Please fill out the form below.

     
 
surname
 
 
first name
 
 
adress
 
 
postal code
 
 
town
 
 
country
 
 
phone
 
 
fax
 
 
e-mail
 
 
special request
 
 

Model
Rates per Day
Photos
RD $
US $
 
TOYOTA COROLLA
700 RD$
42.00 US$
TOYOTA COROLLA aT
750 RD$
45.00 US$

JEEP SUZUKI
2 doors Cab

750 RD$
45.00 US$
JEEP SUZUKI
4 doors
850 RD$
50.00 US$
SUZUK SAMOUAI
550 RD$
33.00 US$
SUZUK SPORT
1000 RD$
60.00 US$

*TAXES INCLUDED
 
 
ARRIVAL DATE
   
 
N° days
 
 
Type of car
 
 

METHOD OF PAYMENT

 
 
1)At the reservation20% of the total cost by:
Cheque Credit card  
 
2) Balance: 80% to the car rental
at your arrival

Credit card

 
 

If payment by cheque (20%), please send it at the order of :

DOMIEXEL Sarl

57 Av du Général DE GAULLE
97190 GOSIER
GUADELOUPE

 

As soon as we'll receive your cheque your reservation will be confirmed

 
 
 
 
SECURED PAYMENT BY CREDIT CARD
Choose your credit card
Card number
Date validity
Total reservation
I AUTHORIZE YOU TO DEBIT MY CREDIT CARD
FOR THE AMOUNT OF :

CORRESPONDING TO  20% of the total of the reservation

THIS DEBIT WILL BE DONE AFTER OUR CONFIRMATION