Reservation CamperVan - MotorHome  
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Name:
 

Firstname:
 

Company:
 

Address:

  
  Country-code:
  ZIP-code:
  Place:
  Street & number:
  Tel:
  Fax:
  e-mail:
 

Rental:

  
  Choose a MotorHome type/size: 6,50 m 
  Choose a CamperVan type/size: 5,00 m 
 

Rental period:

 from:   to: 
 

Additional accessories to the equipment:

  
  Bycicle-rack:
  Towing-bracket:
  Bycicles: 1  2  3  4  (number of bycicles)
  Baby-seats: 1  2  3  4  (number of seats)
  Folding chairs: 1  2  3  4  5  6  7  (number of chairs)
  Snowchains 1  2  3  (pairs of chains)
  Liveability pack "MotorHome"*: 1  2  3  (number of packs)
  Liveability pack "Person"*: 1  2  3  4  5  6  7  (number of packs)
 

Options:

  CDW (Collision Damage Waiver)*
     Cancelation insurance*
     Shuttle from/to Brussels Airport*
 

Questions, remarks:
     
    Your data is exclusively collected for internal use. It will not be given to third parties. If we get no response on our reply your data will be deleted.
     
 

|  Rental terms  | 

 
 
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