Reservation Form

Reservation Form

British Car Rental Service Inc.
13 Kelsey Cres., Barrie, ON L4N 0J7 Canada
Tel: +1 416-261-5368 Fax: +1 705-727-9586
info@britishcarrental.com

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DRIVER:
Name
Street Address
E-mail address
Town/City	Province/State
Postal Code	Country
Home Phone	Business Phone
Date of Birth	(dd/mm/yy)
Driver's License #	Expiry Date Issued by
ADDITIONAL DRIVERS:
Full Name
Street Address
Date of Birth	(dd/mm/yy)
Driver's License #	Expiry Date Issued by
Please indicate in the field below the type of car you would like and your choice of either standard or automatic.
Please reserve:
Or (2nd Choice):
RENTAL PERIOD: Please indicate from what day and time you would like your rental.
From (Day/Date/Time):
To (Day/Date/Time):
AIRPORT SERVICE: Please indicate your Airport, Airline, Flight Number, and Arrival time.
Deliver to:
Return to:
NON-AIRPORT SERVICE: Please indicate the depot location required for pick up/return and time required.
Pick up:
Return:
Will you be traveling outside of the mainland U.K.?	Yes No
Do you require Child/Infant Seat (9 months - 4 years)?	Yes No
Do you require GPS Unit?	Yes No
Please provide the following information.
Card Holder	Card Type
Card Number	Expiry Date
How did you learn of our service?
Web Search Engine - Please tell us which one? Google Yahoo Bing Other Returning Customer Yellow Pages Print Yellow Pages Online Friend/Family Other
NOTE: If you prefer to pay by means other than a charge card (i.e. bank draft or money order) this can be arranged. In such cases, a security deposit is required to be left during the rental. Contact us for further information before booking. Before Submitting the form, please indicate if you require insurance by checking the appropriate box
I DO require Damage liability and Theft insurance coverage I DO NOT require Damage Liability and Theft insurance coverage