Reservation Form

Reserve your car here:

Reservation Form

Fill out this secure car rental reservation form and submit. Shortly our staff we’ll send you the confirmation number with booking details for your car rental dates, based on the previous e-mail quotation. (Required fields are marked).

Pick Up Information

Rental Date (required)

Time

Rental Location

Drop off Information

Return Date (required)

Time

Return Location

Vehicle Information:

TYPE OF CAR: (required)

CHECK - Automatic Car Preferred

Arrival Flight & Airline Name:

To meet you and pick you up upon your arrival to the airport, provide us your Flight number and Airline name. Also you can send this information later on. Use comments box for further instructions

Insurances and Optional Protections

TPL, Third Party Liability (Mandatory Local Insurance)
I DECLINE the CDW Protections. My credit card insurance benefit covers the rented car in Costa Rica

CDW Basic Collision Damage Waiver
CDW Medium Protection Collision Damage Waiver
CDW Full Zero Deductible Protection

Optional - SLI Supplemental Liability
Optional - Vandalism Protection
Optional - BIL Bodily Injury Liability Insurance

Additional Services

Add Drivers:

GPS "Car Navigation System":

Need infant, child or booster Car Seat?

Cell phone
Roof racks

Card Holder / Renter Information

YOUR NAME:

MAIN DRIVER AGE:

E-MAIL:

PHONE NUMBER:

COUNTRY & PHYSICAL ADDRESS:

Card Holder Credit Card Information

The "Card Holder" is the owner of the credit card that will be used to leave the security deposit and pay the rental service at the time of receiving the vehicle. Also is considered the main driver.

CREDIT CARD:

CARD NUMBER:

EXPIRATION DATE:

Year:

We DO NOT charge your credit card online. It will be verified until you receive the car.

Quotation Details

QUOTE NUMBER:

If you have received a Rate Quote from Service Car Rental, write your Quote number here, if not please continue.

COMMENTS: