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
SKODA
35.00 US$
 
GEO
35.00 US$
 
TOYOTA
37.00 US$
 
MITSUBISHI
46.00 US$
TERIOS
60.00 US$
 
 
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