Insurance Vehicle Reservation

Avalon > Insurance Vehicle Reservation

Car Rental Reservation Form

Driver Name

Mobile Number

Company (optional)

Company Address

Coordinators Name

Coordinators Email

My desired pickup location

Note: Return is same as pickup location

Pickup Date

If your reservation is within two days of today date you will need to call the office to confirm your order. Please call 408-834-3855 for travel with in 48 hours.

Pickup Time

Type of Vehicle

Options

GPS Device

Car Seat

Auto Coverage

I have my own Policy

I will need Auto Coverage

Return Date

Return Time

Form of Payment

Billing Dept

Bill Direct To

Credit Card

Option: Call in number

Expiration

Notes

Check the box