• +61879997511
  • info@australia4wdrentals.com

Vehicle Booking Request

Customer Information
Please state your first and middle names (e.g. Christian name)
Please state your last name (e.g. family or surname)
Include country and area code (only numbers allowed)
Include country and area code (only numbers allowed)
IMPORTANT: To help us serve you even better please specify the means and date of your arrival at the pickup point and your time flexibility. This information will assist us in preparing a more accurate quote for your benefit.
Arrival Information
Please specify if you have any flexibility of when you'd like to start your tour / booking
Please indicate your flight number and arrival time if you are hiring a car
Vehicle Information
Please indicate your current and valid license type
Select your pick-up date
Select your pick-up location
Select your drop-off date
Select your drop-off location
Adults
Children (below 12 years)
Indicate number of people who will be driving
Specify the age of each driver in the group
Specify the age of each child in the group.
Important Note: Some vehicles have restrictions for children under the age of 5. Please refer to vehicle restrictions on our website. If you are unsure please email us.
Passenger Information
Name of traveller
Age
Name of traveller
Age
Name of traveller
Age
Name of traveller
Age
Name of traveller
Age
Name of traveller
Age
IMPORTANT:
  • Suppliers / operators may require a deposit or full payment - please refer to your quote for details.
  • Please note your credit card statement will show billing as Australia 4 Wheel Drive Rentals.
Payment Details
Month
Year
 
Last 3 numbers on back of credit card - VISA and MasterCard only.
Please enter any additional information you wish us to know about.



  1. By completing and submitting this form I hereby acknowledge that I agree to a booking.
  2. I agree to abide by the terms and conditions of this booking.
  3. I agree to a deposit or full payment, as quoted, being taken from the credit card specified above.
  4. I have read, understood and agreed to the cancellation policy, terms and agreement of Australia 4 Wheel Drive Rentals and their suppliers. Click here to view our Terms and Agreement





________________________________________________________ Signature of credit card holder (fax bookings only)