Name
Last Name
e-mail
Address
Driving License
Car - Model - Toyota Yaris Sport Std. Toyota Yaris Sport Aut. Toyota Yaris Advance Std. Toyota Yaris Advance Aut. Toyota Corolla Std. Toyota Corolla Aut. Toyota Avensis Nissan Altima Toyota HiAce Minivan Kia Carnival Daihatsu Terios 4x4 Toyota Rav4 Toyota Fortuner Toyota Land Cruiser Prado Toyota Hilux 4x4
Phone
Fax
Date & Hour of pickup
Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July Agoust September October November December Year 2006 2007 2008 2009 Hour 12:00 AM 12:30 AM 1:00 AM 1:30 AM 2:00 AM 2:30 AM 3:00 AM 3:30 AM 4:00 AM 4:30 AM 5:00 AM 5:30 AM 6:00 AM 6:30 AM 7:00 AM 7:30 AM 8:00 AM 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM 6:00 PM 6:30 PM 7:00 PM 7:30 PM 8:00 PM 8:30 PM 9:00 PM 9:30 PM 10:00 PM 10:30 PM 11:00 PM 11:30 PM
Location
Location Tocumen Airport Ricardo J. Alfaro Ave. Enrique Malek Airport
Date & Hour of Drop Off
Method of Payment
Cash VISA Master Card American Express Dinners Club Clave Purchase Order
Coments
** Optional Information **
* How did you find our web page?
1. Thru an internet search engine 2. By a magazine or news paper add 3. In a promotional give away from Alamo 4. I was refered by a friend - relative
* Which (1, 2 or 3 option)
* Other
Rental Requirements
Rental with credit card Valid driver license Minimum age: 23 years old Rental with cash deposit Minimum age: 25 years old Valid driver license Panamanian resident: Income Proof Non Panamanian resident: Less than 30 days staying in the country. Certain models requires credit cards. All reservations are subject to confirmation on high season
