TITLE
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Drivers must be over 21 and not over 75 years of age, and have held a current driving licence for at least one year. Endorsed licences will be accepted only at the discretion of N W Brass Car Hire.
Rates quoted are for 24 hour hire.
Only persons approved in writing are allowed to drive the hired vehicle.
The hirer is responsible for a £700 excess for any damage or claims resulting against the hired vehicle unless CDW is taken at £5 per day.
CDW is available to non-UK driving licence holders.
If an extension of hire is required, the hire office must be informed immediately, and additional costs paid so that insurance cover can be extended. Failure to do so may result in driving with no insurance.
Whilst on hire, parking fines are the responsibility of the drivers.
Hirers pay for all fuel used whilst on hire.
All rentals are aubject to the terms and conditions appearing on the Rental Agreement and as supplemented above.
All prices include VAT at 20% and are subject to change without notice.
FULL NAME
ADDRESS
POST/ZIP CODE
EMAIL
TELEPHONE No.
(with Code)
FAX No.
(with Code)
Preferred Method of Confirmation
Please Select Post Telephone Fax Email
DATE OF BIRTH OF DRIVER: DD/MM/YYYY
CONVICTIONS AND/OR INSURANCE CLAIMS FOR LAST THREE YEARS
DRIVING LICENCE NO.
NO IN PARTY
CHILDREN
FROM DATE
TIME
AM PM
TO DATE
TIME
AM PM
I SHALL BE STAYING AT
SPECIAL INSTRUCTIONS
USE THIS SECTION FOR ANY SPECIAL INSTRUCTIONS OR COMMENTS
PAYMENT DETAILS
CARD TYPE
Please Select Mastercard Visa Switch
CARD NUMBER
ISSUE NUMBER (SWITCH)
CCV NUMBER
START DATE
January February March April May June July August September October November December 2014 2015 2016 2017 2018 2019 2020
EXPIRY DATE
January February March April May June July August September October November December 2019 2020 2021 2022 2023 2024
YOU WILL NOT BE CHARGED UNTIL YOU ACCEPT OUR FINAL CONFIRMATION VIA EMAIL
HIRE DETAILS
DAYS REQUIRED
(Select One)
GROUP 2 CARS - medium hatchback
Click For Group 2 Rates 1 Day - £50 2 Days - £98 3 days - £125 4 Days - £164 5 Days - £197 6 days - £235 7 Days - £246 8 days - £270 9 days - £290 10 days - £313 11 Days - £336 12 days - £360 13 days - £380 14 days - £400
COLLISION DAMAGE INSURANCE (£5 PER DAY)
Select CDW Options CDW Not Required 1 Day CDW £5 2 Day CDW £10 3 Day CDW £15 4 Day CDW £20 5 Day CDW £25 6 Day CDW £30 7 Day CDW £35 8 Day CDW £40 9 Day CDW £45 10 Day CDW £50 11 Day CDW £55 12 Day CDW £60 13 Day CDW £65 14 Day CDW £70 See Comments Box
TODAY'S DATE
I HAVE READ AND UNDERSTOOD THE TERMS & CONDITIONS OF HIRE