Bushwheels Car Rental Reservation Form

Bushwheels 4X4 Rental Reservation form

To rent a 4X4 please complete and submit the booking form.
Full Name*

First NameLast Name
Age*
Gender*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pick-up Date*

MonthDayYear
Date
Drop off Date*

MonthDayYear
Date
Pick-up Location*
Drop off Location*
Proposed Destination(s)*

Okavango Delta MaunMakgadikgadi Salt PansKasane /Vic FallsCross CountryOther
Number Of Adults*
Number of Children*
Number of Drivers*
Do you Require assistance with your itinerary?*

YESNO
Will you be crossing any borders?*

YESNO
Do you require a driver ?*

YESNO
Do you have any previous 4X4 experience ?*

YESNO
Vehicle Specs?*

EquippedUnequipped
Do you require the service of a guide ?*

YESNO
Do you require a Satellite Phone ?*

YESNO
Have you been to Botswana Before ?*

YESNO
How did you hear about us?

ReferralWebsiteSocial MediaOther
Comments
Should be Empty:

Bushwheels 4X4 Rental Reservation form