Brabel Rental Services Reservation Form Name and Surname Address Country Drivers licence Passport number Date of birth Telephone, fax E-mail* Select type of vehicle A Fiat Panda A Smart for Two B Opel Corsa B Renault Clio C VW Up automatic D Mazda 3 sport E Mazda 3 Sedan automatic F Suzuki SX4 S Cross automatic G Opel Zafira automatic (7 seater) H Citroen C Crosser (7 seater) S1 Scooter 50 cc S2 Scooter 100 cc 125 cc Piaggio Liberty S3 Scooter 200 cc - Piaggio Liberty S4 Scooter 250 cc - Piaggio X7 S5 Piaggio MP3 250 cc M1 Kawasaki ER6N M2 Honda CBF600S - Sport touring M3 BMW G650GS M4 Suzuki DL 650 M5 Honda VRF 1200F M5 Ducati Multistrada 1260 Pick-up Starting date Place Time Dropp off Ending date Dropp off place Dropp off time Payment Payment Cash MasterCard Visa Maestro Credit card number Valid till (month/year) Remarks Additional Info submit Please turn on javascript to submit your data. Thank you! Powered by BreezingForms
