Mirage Car Rentals
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Kindly use the form below to specify your requirements, without obligation. Please supply full information for us to provide you with as low and accurate a quote as possible. Those marked with a red * are required. Upon acceptance of our quote you can also use this form to submit your payment securely. Thank you.

* Name & Surname
* Age
* E-mail address
* Home/Work Tel or Mobile number
Vehicle required from to
Number of days
 
Vehicle category
     
Optional Extras:    
Additional driver yes no
Collision damage waiver (recommended) yes no
Baby seat yes no
     
Did you find us via:

Only for Reservations/bookings, please supply

Credit card number

(Is it correct?)

Credit card type

 

Expiry date

 Name on card

If you are a new customer, we would appreciate the following information:
Home address (not Malta address)
Address in Malta
 

Our mailing address and contact details are:

Mirage Car Hire,
Tourist Road,
Bugibba SPB 05.
Malta
Tel: (+356) 21 58 03 13
Fax: (+356) 21 58 56 15
Email: info@miragecarhire.com

 


Mirage Car Rentals
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Mirage Car Rentals