OASIS LA PALMA
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Type of car
Hire period
Pickup date
dd-mm-yy		*
Pickup time*
Pickup point*
 
Return date
dd-mm-yy		*
Return time*
Return point*
 
Number of days*
Flight/Ferry details (obligatory where applicable)
Arrival flight/ferry number 
Arrival time 
Departure flight/ferry number 
Departure time 
First driver:
Name*
E-mail address*
Address 
Telephone number(s)
Daytime/evenings/weekends		 
Fax 
Nationality 
Date of Birth*
Passport number, place and date of issue.*
Drivers license number, category, place and date of issue.*
 
Second driver: (optional)
Name 
Nationality 
Date of Birth 
Passport number, place and date of issue. 
Drivers license number, category, place and date of issue. 
 
Please read the terms and booking conditions
I accept the Terms and Conditions*
 
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Grupo OASIS LA PALMA
Autos Oasis La Palma S.L. C.C. Centrocancajos local 301, 38712 Breña Baja, Isla de La Palma, Canary Islands, Spain.
ORGANIZACIÓN AGENCIA SERVICIOS ISLAS CANARIAS S.L.U. C.C. Centrocancajos, local 302, 38712, Breña Baja, Isla de La Palma, Canarias.
 
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