Car Reservation Form

PERSONAL DATA

Salutation Mr. Mrs. Dr. Prof.

Surname Last Name Middle Name

Postal Address Postal Code City

State/Province Country of Origin

Telephone No. Fax No.

Email Address

Passport No./ID No. Driving Licence No.

OTHER CRUCIAL DETAILS

Selected Car Type/Model Make Prado Mitsubishi Pajero Toyota Land Cruiser Toyota RAV4 Toyota Premio Suzuki Escudo Toyota 100/110/111 G-Touring 7/8/9 Seater van

Pick up/Collection Date Return Date

Drive mode Self Drive Chauffeur Driven

CONTACTS:

P.O. Box 59067-00100, Nairobi
Tel: 254-020-240511 / 240379 / 0722-787182 / 0722-468664
Email: info@beachnbush.com
reservations@beachnbush.com
sales@beachnbush.com