Long term van rental - application form

All fields marked with an * must be completed.

Application form

* Name

* Position

* Company

Type of Business

* Address

* Town

* Postcode

* Telephone

Fax

* Email

No. of Vehicles Required

No. of Weeks Required

Class of Vehicle Required

Transmission

Style

Preferred Choice of Manufacturer

Number of Employees in Company:

0-9	10-49	50-99
100-249	250-999	1000+

* Choice of manufacturer is restricted to contracts of 12 weeks and over and is limited to vehicles serviced by Europcar UK. Allow up to 6 weeks for delivery of chosen manufacturer. Please ask Europcar for full details.

** Available during 2002. NB months are measured in periods of 4 weeks.

For full terms and conditions available from Europcar UK, Aldenham Road, Bushey, Watford WD23 2QQ