Car Rental Form

Pick-up Date

Day Month Year Hour Minutes
Pick Up Location

Kotoka Airport Bentley Place Premier Place Walter's Place
Apartment Number *
Drop-off Date

Day Month Year Hour Minutes
Drop Off Location

Kotoka Airport Bentley Place Premier Place Walter's Place
Car Types

Small Salon Car Mid Size Salon Car 4x4 SUVs Luxury Car
Additional Requests

Personal Information
Full Name *

Prefix First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Birth Date *

Month Day Year
Should be Empty:

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