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First Name
Last Name
C.I /Passport number
Age Passenger
Address
City
Country
Telephone
Fax
E-mail
1. Do you wish your vehicle to be deliver at the airport ?
yes
no
If the answer is yes, we would appreciate the flight details, in order to have someone meet you at the airport.
Airline
Flight N°
Arrival time
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2. Please tell us when and where would you like to rent the car?
Pick up location
Rental Pick up date
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Enero
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Marzo
Abril
Mayo
Junio
Julio
Agosto
Septiembre
Octubre
Noviembre
Diciembre
2007
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2012
Rental pick up time
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Return location
Rental return date
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Enero
Febrero
Marzo
Abril
Mayo
Junio
Julio
Agosto
Septiembre
Octubre
Noviembre
Diciembre
2007
2008
2009
2010
2011
2012
Rental return time
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02
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04
05
06
07
08
09
10
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00
05
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15
20
25
30
35
40
45
50
55
Choose you car
TOYOTA YARIS Cap. 4 Passenger
VOLSWAGEN GOLF Cap. 4 Passenger
VOLSWAGEN GOL Cap. 4 Passenger
NISSAN SENTRA 1.8 Cap 4 Passenger
MITSUBISHI L200 4x4 double cabin
MITSUBISHI L200 4x2 double cabin
NISSAN PATHFINDER 4x4 gasoline
Are you going to Argentina with the car ?
yes
no
3. Guarantee information
Credit card
Visa
Mastercard
Magna
Dinners Club
American Express
Otro
Credit card number
Expiration date
¿Como llegó a Nuestro sitio Web?
Comments
Address:
Boliviana #679
Telephone:
56-61-220617
Fax:
56-61-247755
CellularPhone:
56-96405364 - 56-84485026
Punta Arenas - Patagonia - Chile
This site has been
since October 2004
by
Austro Internet
Last revised: 12-12-2005
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