Use the following reservation form,
and be automatically member of Go-Martinique.com
You will get a 10% discount on the Car rental rates .


FORM
Please fill out the form below.

HACIENDA CAR
     
 
surname
 
 
first name
 
 
adress
 
 
postal code
 
 
town
 
 
country
 
 
phone
 
 
fax
 
 
e-mail
 
 
special request
 
 

Model
Per day
15 days
CLIO
190 FF
170 FF per day
 
 
ARRIVAL DATE
   
 
N° days
 
 
Type of car
 
 


Euro Converter

METHOD OF PAYMENT

 
 

Déduce 10 % from total amount
After deduction,pay the balance:

At the reservation 20% of the total cost:
by Chèque, or Carte de crédit

At your arrival , 80 % to the car rental :
by
Espèces or Carte de crédit

If payment (20%), is done by cheque please send it at the order of :

DOMIEXEL Sarl

57 Av du Général DE GAULLE
97190 GOSIER
GUADELOUPE

As soon as we'll receive your cheque your reservation will be confirmed

 

 
 
 
 
SECURED PAYMENT BY CREDIT CARD
Choose your credit card
Card number
Date validity
Total reservation
I AUTHORIZE YOU TO DEBIT MY CREDIT CARD
FOR THE AMOUNT OF :

CORRESPONDING TO  20% of the total of the reservation

THIS DEBIT WILL BE DONE AFTER OUR CONFIRMATION