NICARAGUA CAR RENTAL REQUEST FORM

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CAR RENTAL INFORMATION

Type of Car: SELECT A CAR COMPACTO 4X4 - SUZUKI JIMNY MID SIZE 4x4 - DAIHATSU BEGO STANDARD 4X4 - SUZUKI GRAND VITARA FULL SIZE 4X4 - TOYOTA 4 RUNNER PREMIUM 4X4 - TOYOTA PRADO MINIVAN - CHRYSLER CARAVAN MICROBUS - TOYOTA HIACE

PICK UP INFORMATION

Date Month Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 22 23 24 25 26 27 28 29 30 31 2009 2010

Time 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 5:30 6:00 6:30 7:00 7:30 AMPM

Location Select Managua Airport Granada Leon San Juan Del Sur Other

DROP OFF INFORMATION

*If you want to pick up or drop off at a location not listed please list your location in the comments box. (fees may apply)

SPECIAL INFORMATION OR COMMENTS:

All car rentals in Nicaragua are manual unless you specify otherwise.