Today's Date:

Name

Address

Phone #

Cell phone #

Arrival date & time

Flight Number

Departure date & time

Preferred Vehicle?

Manual or automatic transmission? Older or newer model?

Drivers License, State and #

Expiration

DOB ($10 daily fee added to drivers 19-24)

Insurance company that will cover your rental car:

Policy #

Gold or Platinum credit card from American Bank

Expiration Date 3 digit number from back of card

Name on Card if different from above.

How many people in your group?

Where will you be staying on Maui?

Please note: THIS IS JUST A REQUEST. You are not confirmed until you speak directly with us. At that time 
we will take a $35 deposit from your credit card to hold your reservation, which will be deducted from your final bill.
There is a daily .27 license/regestration fee, 4.16% tax, and a State of Hawaii car rental fee of $3.00/day.
The cars are non smoking and follow standard car rental policy regarding off road driving.
Cancellations made after confirmation, within 8-30 days of rental are subject to 50% rental fee.
Cancellations made after confirmation, within 7 days of rental are subject to 100% rental fee
If you have questions please let us know.
Thank you for caring about the planet and renting a Bio-Beetle ECO rental car!