Booking form
Name
*
Email :
*
Address
*
City
*
Country
*
Phone number
*
Adults ( 6 or older )
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Children (under 6)
0
1
2
3
4
5
6
7
8
Child safety seats / Baby seats:
0
1
2
3
4
(pre-installed)
Kind of vehicle
Car
Station wagon
Van
Please note :
- Car : 4 seats + max. 2 luggage
- Station wagon: 4 seats + max. 4 luggage
- Van : 8 seats + luggage
Collection information :
Date
Time
AM
PM
Address
City
For Airport collections only :
Landing at
--------------
Zaventem (Brussels)
Schiphol
Charlerloi
Paris
Oostende
Rotterdam
Eindhoven
Charles du gaul
Other
Other airport
Flight number
Origin
Destination address
Address
City
For airport desitinations only
:
Airport :
--------------
Zaventem (brussels)
Schiphol
Charlerloi
Paris
Oostende
Rotterdam
Eindhoven
Charles du gaul
Other
Other airport
Additional comments
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