Are there any additional drivers?(max 1) Yes No  If yes please include particulars (Name, Address, Drivers Licence #, age)PLEASE NOTE information will be verified at time of pickup. 
 

Please enter NAME ( additional driver ):
Address:
Date of Birth:	JanFebMarAprMayJunJulAugSepOctNovDec12345678910111213141516171819202122232425262728293031
License #:
Exp. Date #:

Car Rental:

I arrive on  A: AMERICAN AIRLINES -11:30 AM MIAMI B: AMERICAN AIRLINES -1:00 PM DALLAS C: AMERICAN AIRLINES -2:45 PM DALLAS D: CONTINENTAL AIRLINES 10:23 AM HOUSTON SUN-FRI E: CONTINENTAL AIRLINES -3:01 PM HOUSTON SUN-FRI F: CONTINENTAL AIRLINES -12:49 PM HOUSTON SAT G: CONTINENTAL AIRLINES -1:06 PM NEWARK H: DELTA AIRLINES -12:00 PM I: US AIRWAYS -1:00 PM J: GRUPO TACA -9:55 AM EL SALVADOR K: GRUPO TACA -4:30 AM HOUSTON L: GRUPO TACA -4:30 AM HOUSTON M. TROPIC AIR (Local Airline) N. MAYA ISLAND AIR (Local Airline)  additional comments if not listed

I request a A. 2001-2003 Mitsubishi Galant /Saturn [Paved Roads Only] -4DR-2WD B. 2004-2005 Hyundai Elantra/ Ford Taurus (Paved Roads Only) -4DR-2WD C. 2004 Nissan Altima/Ford Taurus (Paved Roads Only) -4DR-2WD D. 2004 Luxury -Linclon Town Car -(Paved Roads Only) -4DR-2WD E. 2001-2003 Chevy Tracker /Suzuki Vitara -4DR-2WD F. 2007-2008 PT Cruiser -4DR-2WD (Paved Roads Only) G. 2007-2008 PT Cruiser Convertible -2DR-2WD (Paved Roads Only) H. 2004-2006 SUZUKI XL7 -4DR-2WD I. 2004-2006 Suzuki Xl7 -4DR-4WD J. 2006-2008 Chevy Equinox /Pontiac Torrent -4DR-2WD K. 2006-2008 Chevy Equinox /Pontiac Torrent -4DR-AWD L. 2008 Jeep Wrangler Convertible -2DR-4WD M. 2008 Jeep Rubicon Hard-Top -2DR-4WD N. 2007 Jeep Wrangler Convertible -4DR-4WD O. 2008 Jeep Rubicon Hard-Top -4DR-4WD P. 2002-2004 Ford Excursion Diesel -4DR-4WD Q. 2007-2008 Ford Expedition -4DR-4WD R. 2001-2003 Ford Ranger Single Cab P/UP -2DR-2WD S. 2003-2004 Nissan Fronteir King-Cab P/UP -2DR-2WD T. 2005-2007 Dodge Ram 1/2 Ton -2DR-2WD U. 2007-2008 Ford F150 Regular Cab -2DR-2WD V. 2007-2008 Dodge Ram 1/2 Ton -4DR-2WD W. 2005-2006 Dodge Ram Diesel 3/4 Ton -4DR-4WD X. 2002-2004 Ford Van 15 Passenger -3DR-2WD Y. 2005-2006 Ford /Chevy Van 12/15 Passenger -3DR-2WD Z. 2000 Ford Box Truck with Lift Deck -2DR-2WD AZ. 2004 Isuzu NPR Box Truck -with Lift Deck-2DR-2WD BZ. Dodge Ram Motor Home -3DR-2WD Standard Automaticeither (transmission) for passengers I will PICK UP the vehicle at (00:00) AM PM the day of JanFebMarAprMayJunJulAugSepOctNovDec Location you wish to PICK UP the vehicle International AirportBelize City - Main Office

and

I will DROP OFF the vehicle at (00:00)AMPM the day  JanFebMarAprMayJunJulAugSepOctNovDec 

Location you wish to DROP OFF the vehicle   International AirportBelize City - Main Office 
 
 

Please enter your DESTINATIONS: (please enter all of your destinations)

Would you like the free use of an ice chest to use on your tripYESNO

How did you hear about us?Searching the NetRepeat customerReferred by previous customerWord of mouthOther - Please specify in additional commentsTravel Agent

If you have any comments or special requests please indicate below. The space below will expand as needed so there is more space than appears.

Please indicate the NATURE OF YOUR REQUEST (Select only one).
Inquiry on availability
Confirming definite booking

The credit card must be in the name of the person renting the car. By sending this form, you are authorizing Crystal Auto Rental Limited to charge your credit card for one day rental, only in the event you do not show up for your confirmed reservation. Cancellations for reservations may be made three days prior to your rental without any charges.
 

If you do not want to send credit card information over the internet, please feel free to print this form and fax it directly to us at [011-501-223-1900] direct dialing from U.S.A / or fax to our U.S.A Toll Free [1-866-698-3053]. 

For a Guaranteed Reservation Please input Credit Card Information

TYPE OF CREDIT CARD... Visa   MasterCard  American Express  Discover

Please enter your CARD NUMBER: (leave space between numbers)

Please enter the EXPIRATION DATE for the card you have listed:

Please enter your NAME EXACTLY as it appears on the card:

Now that you have finished, simply click on send to e-mail us the form. We will send you a confirmation of your reservation. Please allow 24 hours for returned confirmation.