RESERVATION FORM
Please fill out the form below.

     
 
Name
  
 
Middle Name
 
 
Address
  
 
Postal code
  
 
Town
  
 
Country
  
 
Phone
  
 
Fax
  
 
e-mail
  
 
Special request
  
 
RATES ARE IN US$ CURRENCY AND ARE SUBJECT TO CHANGE
 
June 15 to October 14 (Summer Season)  
 
Group
Vehicle & Make
1 - 3
Days*
4 - 6
Days*
7 - 13 Days*
14 - 20 Days*
21 - 27 Days*
28+
Days*
  
A

Small Cars & Sedans
Suzuki - Kia - Mazda
$40.00
$35.00
$32.00
$30.00
$28.00
$28.00
  
 
B
2 door Jeeps
Suzuki
$50.00
$45.00
$40.00
$35.00
$30.00
$30.00
  
 
C
2 door Jeeps
Wrangler
$60.00
$55.00
$50.00
$45.00
$40.00
$35.00
  
4 door Jeeps
Suzuki - Kia
$60.00
$55.00
$50.00
$45.00
$40.00
$35.00
  
 
D
7 seaters
Suzuki - Mitsubishi
$70.00
$65.00
$60.00
$55.00
$50.00
$45.00
  
                 
 
 
Arrival Date
 
Flight Number
Arrival Hour
N° days
Departure Date
 
Flight Number:
Departure Hour
 
 
Type of car
  
 

METHOD OF PAYMENT

 
 
1)At the reservation20% of total cost
Cash Credit card  
 
2) Balance: 80% at your arrival

Cash Credit card

 
 

If payment is done by cash (20%),
please send it at the order of :
INTERNATIONAL CAR RENTAL
P.O.Box 117

Road Town - TORTOLA
BRITISH VIRGIN ISLANDS

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

 
 
 
 
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