Reservation CONFIRMATION Request
Reservation CONFIRMATION Request
Maui ECO Rental Car Reservation Form
Todays Date
Todays Date
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MM
/
DD
YYYY
Name of primary driver
Name of primary driver
First
Last
Address
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
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Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Phone Number you will have on Maui.
Email MAKE SURE IT'S CORRECT
Arrival Date
Arrival Date
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MM
/
DD
YYYY
Arrival Time
Arrival Time
:
HH
MM
AM
PM
AM/PM
Arrival Flight info. Airline and number. (If picking up at airport.)
If coming to Kahalui Harbor on a cruise, or not coming into the OGG airport explain here:
Departure Date (returning the car date)
Departure Date (returning the car date)
/
MM
/
DD
YYYY
Expected Departure / flight Time (or return time if NOT catching a flight)
Expected Departure / flight Time (or return time if NOT catching a flight)
:
HH
MM
AM
PM
AM/PM
Preferred vehicle
Price quoted in email
Drivers license number
Drivers license EXPIRATION and STATE
Insurance that covers your rental car. Policy number and expiration.
If credit card covers you, then write in "credit card."
Do you want the CDW. Added insurance $35/day, with $500 deductible. Not liability.
(If you are not covered by your credit card, or have personal/business insurance, you are required to be covered through somewhere.)
Do you want the CDW. Added insurance $35/day, with $500 deductible. Not liability.
(If you are not covered by your credit card, or have personal/business insurance, you are required to be covered through somewhere.)
no
yes
Additional Drivers: NAME, LICENSE NUMBER and EXPIRATION, and state, and insurance info. ($5/day for more than 2 drivers, unless in same family and have same insurance)
NO ONE UNDER 21
Date of birth or acknowledge you are over 21
Credit Card number. 25% run now for deposit. Remainder usually run the day you pick up the car. Cancel within 7 days of rental and it is 50% total.
expiration date
security code
Name or address if on credit card if different from above
How many people in your group
Do you want a cooler, boogie boards, sand toys, left in the car for you to borrow. (Free)
Where are you staying on Maui
How did you hear about us
Any comments, questions, concerns?
Have you driven this type of car before? (Some cars might need a little explanation, such as Electric cars, or keyless cars, or toggle shifters. We want to make sure you are 100% comfortable and can explain a little more about them, if you would like. )
Spam Protection. Please answer this simple question.
What is "three hundred" as a number?