Reservation Request

Name:
Birthdate:
Street:
City:
State/Province:
Zip or Post Code:
Country:
Telephone Number:
Fax Number:
E-mail Address:
Driver License No:
Exp Date:
Airline & Flight #
Arrival Date:
Arrival Time
Departure Date:
Departure Time
Number of Rental Days:
Passport #: Exp Date: Place Issued:
IMPORTANT - PLEASE ENTER YOUR FULL AND CORRECT E-MAIL ADDRESS.
CONFIRMATION WILL BE SENT BY E-MAIL OR FAX.

American Express MasterCard Visa Discover
Other (please specify): Credit Card No: Expiration Date:

Please choose from the following categories:

Regular Rates

Rates shown in US dollars and subject to change without notice

Classification A: Toyota Yaris (Old)
Weekly $192.00
CDW $5.00 All risk $10.00

Classification B: Toyota Yaris (New)
Weekly US$208.00
CDW $5.00 All risk $10.00
Classification B1: Toyota Corolla
Weekly US$228.00
CDW $8.00 All risk $12.00
Classification C: Toyota Camry
Weekly US$288.00
CDW $12.00 All risk $18.00
Classification C1: Toyota Prius
Weekly US$288.00
CDW $12.00 All risk $18.00
Classification C2: Toyota Solaris
Weekly US$320.00
CDW $10.00 All risk $20.00
Classification C3: Toyota Avalon
Weekly US$440.00
CDW $15.00 All risk $20.00
Classification J: Jeep Liberty 4x4
Weekly US$374.00 - One Day US$85.00
CDW $10.00 All risk $18.00
Classification J1: Jeep Wrangler 2 dr.
Weekly US$345.00 - One Day US$85.00
CDW $10.00 All risk N/A
Classification J2: Jeep Wrangler 4 dr.
Weekly US$448.80 - One Day US$110.00
CDW $10.00 All risk N/A
Classification J3: Toyota Highlander
Weekly US$374.40 - One Day US$95.00
CDW $10.00 All risk $18.00
Classification L: Dodge Caravan 6 pass.
Weekly US$384.00
CDW $10.00 All risk $18.00
Classification L1: Dodge Caravan 6-7 pass.
Weekly US$412.00
CDW $10.00 All risk $18.00

Classification L2: Dodge Caravan 6-8 pass.
Weekly US$422.40
CDW $10.00 All risk $18.00

Classification L3: Toyota Sienna
Weekly US$422.40
CDW $10.00 All risk $18.00

Classification V: Dodge Ram 1500 6 psss.
Weekly US$432.00
CDW $12.00 All risk $22.00

Classification V1: Dodge Ram 1500 6 pass.(Long back)
Weekly US$480.00
CDW $14.00 All risk $28.00

Deposit required, either credit card or $600.00 cash. 24 hours equals one day.

Ask about our monthly special.

For questions or additional information please contact Ruba Rent A Car at Phone/Fax 297-583-1020 or Cell 297-593-4031, in the U.S. and Canada, toll-free information at 1-800-684-3015,
or e-mail to rubarent@setarnet.aw.

  

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