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Business: Contact name: (required) Email Address: (required) Contact number: (required) VEHICLE REQUEST: Type of Passenger Vehicle: 1 - Starlet 3 door 2a - Hyandai Getz 2 door man 2b - Daihatsu Sirion 4 door man 3 - Hyandai Getz 3 door auto 4a - Mazda 2 4 door sedan auto 5b - Hyundai Elantra Sedan auto 6 - Commodore SV6 Sedan auto 7 - Carnival 7 passenger auto Select Passenger Vehicle ... Insurance Package Passenger: Basic Insurance Passenger - Excess $2000 Insurance Pack 2 Passenger - Excess $750 Insurance Pack 3 Passenger - $250 Choose a Passenger Insurance Pack Passenger Rate: 1 - 50 kms 2 - 150 kms 3 - 250 kms Select No of Kms Required Type of Commercial Vehicle: Choose Type of Commercial Vehicle 10 - Rodeo 4 x 2 DSB Petrol 11 - Dual Cab 4x4 V/6 Petrol manual 12 - Dual Cab 4x4 Turbo Diesel manual 13 - Dual Cab 4x4 Hi-lux Turbo auto 14 - Troop Carrier 11 Passenger 15 - Hi Ace 12 or 14 Seat Commuter manual 16 - Hi-Ace Delivery Van Petrol auto. 17 - Rosa 25 seat Coach Diesel manual 18 - Dyna 16 cu mtre Pan Walk-up 19 - Isuzu 20 cu mtre Pan Hyd Loader 20 - Isuzu 34 cu mtre Pan Hyd loader 21 - Isuzu 38 cu mtre Pan Walk-up 22 - Isuzu 2 tonne Flat bed Diesel 23 - Hino Hawk 4 tonne Tray (Hyab Crane) 24 - Prado 4x4 Diesel Turbo 25 - Hi-Ace Lockable Trailer 26 - Rosa Tandem Lockable Trailer Insurance Package Commecial:: Basic Insce - Excess $2500 Insurance Pack 2 - Excess $400 Insurance Pack "Rosa" - Excess $1500 * Choose commercial Insce Package Rate Commecial: 1 - 100 kms 2 - 200 kms 3 - 300 kms Select No. of kms. required Manual - Automatic: Please Choose..... Manual Automatic No. of days required: 1 day 2 days 3 days 4 days 5 days 6 days 7 days Other Choose Number If other - how many days: (required) Pick up date - day - time: (required) Pick up from: Office Airport Other Pick-Up Point If other - where: (required) Return to ...: Office Airport Other Pick-Up Point If other - where: (required) Comments / Questions: DO NOT FILL IN THIS FIELD!! Do you agree that the information you have provided is valid and is not spam? (required) Yes       No