Pick up Location
*
Pick up Date
*
-
Month
-
Day
Year
Date
Pick up Time
*
Hour Minutes
AM
PM
AM/PM Option
Drop off Location
*
Drop off Date
*
/
Month
/
Day
Year
Date
Dropp off Time
*
Hour Minutes
AM
PM
AM/PM Option
Personal Information
Name
*
First Name
Last Name
Address
*
Street Name
Digital Address
Area
Region
Monument close to location
Age
*
Please upload your Ghana ID card.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Occupation
*
Where do you work (i.e., name & location of company)?
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Do you have a valid driving license in Ghana?
*
Please Select
Yes
No
Please upload your driving license.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How many years of driving experience do you have?
*
Do you agree to pay a security deposit?
*
Please Select
Yes
No
Do you agree to return the car in the same conditions as received?
*
Please Select
Yes
No
Do you agree to be liable for any car damages caused by willful or negligent acts?
*
Please Select
Yes
No
Back
Next
Will you be driving the car outside the Greater Accra Region?
*
Please Select
Yes
No
If yes, list the city/ region below
Do you agree to pay a higher daily rental fee for driving outside of Greater Accra Region?
Please Select
Yes
No
Choose a date and time to visit our office
Guarantor Information
Name of Guarantor
*
First Name
Last Name
Address of Guarantor
*
Street Address
Digital Address
Area
Region
Monument close to location
Phone Number of Guarantor
*
Please enter a valid phone number.
Please upload the Ghana ID card of your guarantor.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Payment methods
Select your preferred method of payment
*
Bank transfer
Mobile Money
Cash
Special requests
Signature
*
Submit
Should be Empty: