Team name
Renter information
Title
Please Select
Adv
Capt.
Dr
Miss
Mr
Mrs
Ms
Prof
Rev
Name
Full names
Surname
ID number
Renter license
Upload copy of the renter's drivers license
Drag and drop files here
Choose a file
Cancel
of
Contact number*
Please enter a valid phone number.
Format: (000) 000-0000.
Aternative number
Please enter a valid phone number.
Format: (000) 000-0000.
Renter email address*
example@example.com
Would you like to list an additional driver?
Yes
No
Title
Please Select
Adv
Capt.
Dr
Miss
Mr
Mrs
Ms
Prof
Rev
Driver name*
ID number
Additional driver's license
Upload a copy of the additional driver's license
Drag and drop files here
Choose a file
Cancel
of
Rental information
Flight number
Vehicle group
Please Select
A Entry Level, Manual Hatchback
B Manual Hatchback
1B Manual Hatchback (VS Polo TSi or similar)
C Manual Sedan
D Entry Level, Automatic Hatchback
E Automatic Sedan
Z Automatic Cross-over XUV
M Luxury Hatchback Compact SUV
G1 Luxury (Mercedes Benz C-Class, BMW X3, Audi, Lexus or Similar)
K Small Manual SUV
L Medium Manual / Automatic SUV
TF Large Manual / Automatic SUV
N Luxury Automatic SUV
Q Manual/Automatic 8-Seater
O1 Manual 14-Seater (governed @ 100km per hour – PDP license required)
N1 Manual Double Cab LDV
H 1 Ton LDV (No Canopy), Manual - Petrol
J 1 Ton Closed LDV (Standard Canopy), Manual - Petrol
P1 ½ Ton Utility LDV, Manual
PV 1 Ton Panel Van Closed, Manual
Collection information
Collection branch
Collect date
/
Day
/
Month
Year
Hour Minutes
Return information
Return branch
Return date
/
Day
/
Month
Year
Hour Minutes Minutes
Additional requests
Excess buy down
I am not Interested in taking out an excess buydown.
R75 per day billed for the duration of the rental- Windscreen- & Tyre Damage Buy Down (to a maximum of R4 500) hubcaps and rims not included
R95 ped day - Excess Buy Down billed for the duration of the rental (1st Excess to a maximum of R4 500, Tyre- & Windscreen Damage to a maximum R4 500) rims not included
Calculated Results
Contract Fee
Static Value
Vehicle deposit rates
Please Select
A Entry Level, Manual Hatchback
B Manual Hatchback
1B Manual Hatchback (VS Polo TSi or similar)
C Manual Sedan
D Entry Level, Automatic Hatchback
E Automatic Sedan
Z Automatic Cross-over XUV
M Luxury Hatchback Compact SUV
G1 Luxury (Mercedes Benz C-Class, BMW X3, Audi, Lexus or Similar)
K Small Manual SUV
L Medium Manual / Automatic SUV
TF Large Manual / Automatic SUV
N Luxury Automatic SUV
Q Manual/Automatic 8-Seater
O1 Manual 14-Seater (governed @ 100km per hour – PDP license required)
N1 Manual Double Cab LDV
H 1 Ton LDV (No Canopy), Manual - Petrol
J 1 Ton Closed LDV (Standard Canopy), Manual - Petrol
P1 ½ Ton Utility LDV, Manual
PV 1 Ton Panel Van Closed, Manual
Vehicle Deposit
Static Value
Daily Rate
Rate as per vehicle rates
Total Days
Return Date - Collection Date
DiffMinutes
Minutes Difference
Chargeable Days
Chargable Days
Estimate
Daily Rate x Chargable Days
Excess Buy Down / Waiver Per Day
Excess Buy Down / Waiver Total
Quotation Total
Contract fee + Depisit + Estimate + Excess buydown
Return date cannot be earlier than the collection date.
Submit
Should be Empty: