Blue Travel


Reservation Form

BRITZ Australia - Campervan, Motorhome and 4WD Rental

If you are interested in a Car Rental, please use our Britz Car Rental Form.

Please fill out this form completely, and be as specific as you can. Items marked with an asterisk (*) are required information. You may also print out our Fax Form and fax it to one of our worldwide offices:

USA Toll Free
1-877-605-6888		Australia
+61-2-9475-4888		Germany
+49-69-3809-9888
 
CUSTOMER:
  Mr. Mrs.
*Last Name
*First Name
*Street
*City, State & ZIP/Postal Code
*Country
Tel. (+ area code)
Fax (+ area code)
*E-Mail
PAYMENT:
*Credit Card Type
*Card Holder
*Card Number
*Expiration Date
American Express only, I.D. Number
This is a legally binding reservation request and I authorize Blue Travel to disclose my personal information to Britz Rentals. I give permission for Britz Rentals to charge my credit card accordingly with the appropriate hire costs. I acknowledge that I am the authorized card holder of this account, have read the Terms and Conditions and agree to abide by them.
RESERVATION:
*Vehicle Type
*Rental Rate Standard Rental Rate   Standard Rental Rate + Bonus Pack
*No. of Passengers
*Pickup Location
*Pickup Date /
*Drop off Location
*Drop off Date /
 
ADDITIONAL COMMENTS:
To make a reservation please click on the Send Reservation button above.
THANK YOU for your business!
 
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Last modified: 02 Jan 2009 09:52