J29 in Fort Lauderdale enquiry All questions marked with * must be answered
Moturis Depots Information

Personal Details
Title:*	Mr Mrs Miss Ms Dr Rev
Full Name:*
Tel No:*
Fax No:
E-mail (ensure this is correct)*
Drivers Age:*
Your Country:*
Travel Agent, Tour Operator Use Only
Agent ID:
Travel Details
Collect Date:*  (HELP)
Return Depot* Boston  Chicago  Denver  Fort Lauderdale  Las Vegas   Los Angeles  New York  San Francisco
Return Date:*  (HELP)
Will You Travel Outside the USA, If So Which Countries: Canada  Mexico  Canada & Mexico
Your estimated daily mileage*		60 miles (cheapest) 100 miles 150 miles 200 miles (most expensive)
Party Details (Max 6 persons)
Adult Passengers (over 12 years)*			1 2 3 4 5 6
Child Passengers (under 12 years)			1 2 3 4 5
Pre-paid extras - paid at time of reservation:
Do You Require Personal Convenience Kit(s): Each kit includes for each passenger: blanket or comforter, pillow & pillow case, set of sheets, face cloth, hand towel, bath towel, dinner plate, bread plate, cereal bowl, cup & saucer, glass, knife, fork & spoon.			1 2 3 4 5 6
Extended Liability & Vacation Interruption Protection (ELVIP) (More information here)			Yes Please
Mountain Bike Rentals 2 Mountain Bikes + Carrier 4 Mountain Bikes + Carrier			2 bikes + carrier 4 bikes + carrier
Pre-bookable extras - paid for at depot:
Generator usage $5.00 per day			Yes Please
Folding chairs $7.00 each per rental:			1 2 3 4 5 6
Baby Seat $35.00 each Per rental			1 2
Snow chains $20.00 per rental			Yes Please
Toaster $5.00 per rental			Yes Please
Additional Comments: