Name: 
(Compulsory)
 
Address:  
Postal Code - Location:  
Passport/Identity card:
( Compulsory)
 
Telephone:  
Country: 
( Compulsory)
  
 
FAX:  
E-Mail:
(Compulsory)
 
Driver licence number : 
 
Date of issue: 
 
 
Vehicle:  
( Compulsory)
AA=Air Conditioning 
AD=Power Steering
Roof rack: Yes  No 
Children seats: Yes  No 
 
 
Pick -up date (dd-mm): 
-
( Compulsory)
Place to Pick-up: 
 
( Compulsory) 
Confirmation of the place to pick-up 
Time: 
( Compulsory)
Date of delivery (dd-mm): 
-
( Compulsory)
Place to deliver  
 
( Compulsory)
Confirmation of the place to deliver 
Time:
( Compulsory)
 Additional Information
Flightnumber:  Airline:  Number of persons: 
 
Reservations will only be effective when confirmed by Rent a Car Autos Bahia.
   
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