Pre-Registration Form - Drive-a-Matic Car Rentals Antigua

Please note that a valid Driver's License is required and must be presented at the time of rental. This also applies to the Additional Driver, if one is specified.

Confirmation Number

Contact Details (Home Address)

First Name

Last Name

Date Of Birth

Address

State/Province

Postal

Country

Telephone

Email

Contact Details (Antigua Address)

Address

State/Province

Telephone

License Details

Driver's License Number

Expiry Date

Issue Date

Country of Issue

Permit Number

Additional Driver

First Name

Last Name

Date Of Birth

Driver's License Number

Expiry Date

Issue Date

Country of Issue

Permit Number