On Line Automobile Rental/Lease Reservation Form
*
Indicates Required Fields


Driver's Personal Data

first name *
middle initial
family name*
e-mail *
nationality *
gender
birth date*


Residence Outside Lebanon
Residence Inside Lebanon

Residence Outside Lebanon

street *
state *
country *
company's name
city *
zip code *
phone number *
Residence Inside Lebanon

address *

phone *



Driver's License Date

licence number *
licence issued on
licence issued by *
licence expiration


Automobile Rental/Lease Data

Automobile  Browse Catalogue

mobile phone
insurance

rental start date(m/d/y) *

rental start time * :

rental return date(m/d/y) *

rental return time * :

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Pickup Information
pickup required ? *
If YES, Please indicate appropriate information below:

airline flight number

date arriving (m/d/y)

time arriving :

hotel name

room number

other, please specify


other comments / special needs




To Contact Us For more information
E-mail : rent@halacar.com

OFFICE HOURS 8:00 AM TO 8:00 PM OPEN 7 DAYS A WEEK
PEOPLE AT YOUR SERVICE 7 DAYS A WEEK !


Main Office, Sami El Solh Ave. Badaro
Tel: [+961 1] 39 39 04, [+961 3] 27 28 37
Fax: [+961 1] 38 41 21
E-mail: rent@halacar.com
P.O.Box: 50576 Beirut - Lebanon

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