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CAR-RENTAL CREDIT CARD PAYMENT FORM
Please type or write in block letters
Dear Customer,
In order to pre-pay your reservation, please complete the form below and fax directly to Arela Services Ltd along with a clear photo ID copy. (Please fax to +359 2 9581983)
ID Details
Name: Mr. / Mrs. / Miss
________________________________________________________________
Nationality _____________________________Other
nationality________________________________
Date of Birth __________________________Place of Birth
____________________________________
ID No. ________________________________Booking ref.
#___________________________________
Place of Issue ___________________________Expiry
date___________________________________
Phone No. (with area code) _________________________Fax
No.______________________________
Permanent address:
________________________________________________________________________________________________________
Customer name if different from cardholder name:
___________________________________________________________________________________
Booking details Pick-up
Drop-off
Date / time ________________
___________________
Location ________________
___________________
Car type & other services
_________________________________________________________
Credit Card Details
Type _________Number
__________________________________CVC________Exp.date
_________
Amount in BG Leva:______________In
words______________________________________________
Signature of Credit card Holder
__________________________________________________________
(Please fax us a clear copy of the front and the back of your credit card)
Sender’s Name: ___________________________
_______ Date: __________________
Fax No: ________________________
Email:___________________________________
N.B. Cancellations less than 24 hours prior to pick-up time bear last minute cancellation fee equivalent to one day rental price
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