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Long Term Leasing Enquiry

1 Personal Info
Company Name: *
Contact Person: *
Mobile No: *
Land Line: *
Email Address: *
2 Rental Info
Company Lease: * Yes No
Individual Lease:* Yes No
Vehicle Category:
Vehicle Make:
Engine Size:
Vehicle Type:
Registration Plate:
Estimated Mileage per annum:
Period of Hire:
Intended budget per month:
Special requirements:
Note / Remarks: