Vehicle Reservation Form
Please Enter Your Details
Name
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First Name
Last Name
Date of Birth
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Month
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Day
Year
Date
Organization
Mailing Address
Phone Number
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Area Code
Phone Number
Fax Number
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Area Code
Phone Number
E-mail
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This Reservation is:
New
Amended
Cancelled
Class F - 5 Door 4x4 - Honda CR-V
Transmission
Automatic
Manual
Any
Number of days
Number of persons
Arrival Date/Time
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Month
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Day
Year
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Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Port of Entry
Douglas Charles Airport
Canefield Airport
Roseau Ferry Terminal
Cruise Ship Berth
Flight Number / Vessel Name
*
ex: LI587 or Val Ferry
Departure Date/Time
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Month
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Day
Year
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Local Address
Requirements
Collect me at the Port of Entry
Need a Baby Seat
Need a Vehicle at Douglas-Charles Airport
Do not Collect Me
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