FAX to: 808-873-6141 PHONE: 808-873-6121 Skype: ecorentalcars EMAIL: email@example.com
Cell phone #
Email Address: (Make sure it is correct!)
Arrival date & time
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
Drivers License #, State and
Date Of Birth (or confirm you are over 21)
Insurance company that will cover your rental car:
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,
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,
DRIVERS MUST FILL OUT THIS FORM.,
if different from primary driver.