Customer Account Application - Flinders Island Car Rentals

Please fill out this form to apply for an account with us. We will get back to you as soon as possible. Thanks

Company Name

A.B.N

Trading As (if different from above)

Street Address

Suburb

State

Persons authorised to ask for credit and make bookings on behalf of your business

Name

Fax

Phone

Do you require a Purchase Order or Travel request Number to be quoted before Car Hire can be paid for?

Yes No

Billing Details

To whom would you like the Account sent to?

Billing Name

Billing Department

Street Address

Suburb

State

Name

Fax

Phone

How would you like to receive your Accounts?

Mail Fax Email

Please tick the Statement which applies to your Business

Invoice to include Car Hire cost ONLY (Driver will pay for Petrol and Insurance Excess in the event of Damage)

Invoice to include Car Hire & Petrol costs ONLY (Driver will pay for Insurance Excess in the event of Damage)

Invoice to include Car Hire, Petrol and Insurance Excess (Driver will not be liable for any costs associated with car hire)

Our Insurance Excess is $1200 in the event of any damage to the vehicle whatsoever. Excess Reduction to $600 is available by paying $10 per day extra.

Tick to reduce excess.

Please be advised there is only one Panel Beating service available on Flinders Island. If you require more than one quote to be made for Damage the cost will be at your Expense.

Do you agree to the terms and conditions? (click to download)

Only tick if you agree.

Enter the words exactly as you see as a security test

Contact Flinders Island Car Hire

PO Box 122

Whitemark

Flinders Island

TASMANIA 7255

Justin and Rowena Nicholls

03 6359 2168 OR 0415 505 655

info@ficr.com.au

Accredited Tourism Business Australia

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