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Waikato Car Rentals

Full Name:* E-mail:*
Address:* Country:*
Phone:* Mobile:
Fax:
Pickup Date: *   Dropoff Date:*  
Time of pickup:* Time of dropoff:*
Place of pickup:* Place of dropoff:*
Address of pickup: Address of dropoff:
Flight No. Vehicle:*
Days vehicle required:* Auto or Manual
Optional Insurance Cover

Please note:
Selecting the insurance reducer option (cost additional to the daily rental price) lowers the standard excess from NZ$1500.00 down to NZ$250.00 for the hire period.


Other Details:
  (SECURE) PAYMENT

Payment Options:
          

Name on Card:
           ( exactly as it appears on the card )


Expire Date:
              


Validation No.
             ( usually on the back of the credit card )

Card Number:
          
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