locevasion - car rental

Reservation or information request form

Sender

Name:



First Name:

Address:
Street:


ZIP Code

City

Country

E-mail

Tel.

Fax

Address in Guadeloupe:

License N°:

Issued on:,
in:

Car type:

Delivery site:

Arrival date:

à: h

Flight Nr.

Drop off date:

à: h

Damage excess buyback at 300€

YES         NO

Payment by:

cheque       credit card


Your message:


Attention !
This reservation will be valid once confirmed by our services after reception of the deposit

Payment of the balance on pick up of the vehicle


page d'accueil Guadeloupe sur Mesure

 

Your personal informations are intended to LOCEVASION. They will not be forwarded to third parties.
You have the right to access, modify, rectify or cancel all personal data (art. 34 of the law "Informatique et Libertés"). To exercise it, contact:
LOCEVASION
Siège: La Baie - 97160 LE MOULE - GUADELOUPE
Tel.: +590-(0)5.90.23.66.78 et +590-(0)6.90.57.46.39 - Fax: +590-(0)5.90.23.66.78
E-Mail: locevasion@wanadoo.fr