Reservation or information request form
Sender

Name:



First Name:
Adress:
Street:
ZIP Code City
Country E-mail
Tel. Fax
Address in Guadaloupe:
License N°: Issued on:,
in:
Car type:
Delivery site:
Arrival date: à: h Flight Nr.
Return of car: à: h
Damage excess buyback at 300Euros YES         NO
Payment by cheque       credit card

Your message:

Attention !
This reservation will be valid once confirmed by our services
after reception of the deposit

Payment of the balance on pick up of the vehicle

 

Your personal informations are intended to LOCEVASION. They will not be forwarded to third parties.
You have the right to access, modify, rectify or cancel all personal data (art. 34 of the law "Informatique et Libertés"). To exercise it, contact:
LOCEVASION
Siège: La Baie - 97160 LE MOULE - GUADELOUPE
Tel.: ++590 23.66.78 et ++590 57.46.39 - Fax: ++590 23.66.78
E-Mail: locevasion@wanadoo.fr