Today's Date:

Name

Address

Cell phone #

Email Address: (Make sure it is correct!)

Arrival date & time

Flight Number/airline

IF NOT COMING INTO KAHULUI OGG Airport, you must get confirmation/ok from us ahead of time... Pick up charges might occur.

Departure date & time

Preferred Vehicle?

Drivers License, State and #

Expiration

Date Of Birth (or confirm you are over 21)

Insurance company that will cover your rental car:

Policy #

Gold or Platinum credit card from American Bank. Visa, or MC,

Expiration Date and 3 digit number from back of card

Name/address on Card if different from above.

PLEASE contact your credit card company and let them know you will be traveling to Hawaii. Due to added security,
many credit card companies now automatically decline any charges from out of state unless you actually tell them to allow them.

How many people in your group?

Do you need to rent a car seat or Booster seat for any children? See policy page for actual laws.

Only approved surf racks from Bio-Beetle are to be used on our cars, rented at $35/week. CALL US!

Where will you be staying on Maui?

How did you hear about us?

IF MORE THAN ONE DRIVER, ALL DRIVERS MUST FILL OUT THIS FORM., if different from primary driver.
Second driver is free. Other drivers will be $5/day per driver. Primary driver is still responsible for all damages, if questionable with other drivers insurance...

Please note: THIS IS JUST A REQUEST. You are not confirmed until you speak directly with us. At that time 
we will take a non refundable $35 deposit from your credit card to hold your reservation, which will be deducted from your final bill.
There is a daily .35 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 7 days of rental are subject to 50% 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!
To Confirm your reservation now, call: 1-877-873-6121/ 808-873-6121