SELFTOURS
CAR HIRE ENQUIRY FORM
PERSONAL INFO
Full Name:
Phone Number:
Fax:
E-mail Address:

Credit Cards:
(Only MasterCard & VISA)

Are you over the age of 23yrs?
If not what is your current age?
Have you had a drivers license for more than 2 years?
If not, what date did you receive your licence?
IMPORTANT: The nominated driver of the car MUST have his/her own personal Credit Card to take delivery of the chosen car. Failing so, the rental company will refuse to release the car.
Country of Residence:
RENTAL INFO
Arrival/Collection Date & Time in SA:
Departure/Return Date & Time in SA:
Place of arrival in SA:
Place of departure from SA:
Preferred Car:
(Example :- Group A or 1.3l. 1.6l - etc.:)
Number of Persons:
Which Search Engine you found us on:
Can your email address receive pictures &/or graphics:
Special Instructions:
(Which borders do you wish to cross? Two drivers Baby Seat? One way drop off?)
* Enter these characters to validate this enquiry:

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