Edson Luxury Car Rentals - Miami, Palm Beach, Boca Raton, Los Angeles

Reservation Form
(48hrs cancellation policy)
Two-days minimum rental

Please fill the form below to make your reservation:
Please, read our Rental Agreement - Terms and Conditions

Desired car for rent:
2nd preference vehicle:

Personal Information
Last name:
First Name:
Date of Birth:
Driver license number:
Expiration date:
Passport:	(For international customers)

Contact Information
Address:
City:
State:
Country:
Zip code:
Phone number:	Country code: Area code: Phone:
E-mail:
Please confirm E-mail:

Insurance Information
Do you need insurance?
Please submit your personal car insurance information:	Name of your Insurance Company: Telephone: Policy: Contact Name:

Additional Driver
Will there be an additional driver?
If yes, please provide the additional driver name, date of birth, address, phone number, driver license number, and e-mail address:	Name: Date of Birth: Street: City: State: Zip: Country: Phone: Driver's License: E-mail:

Pick Up
Location / City:	ex: Miami Int'l Airport, Miami
State:
On:
At:

Return
Location / City:	ex: Miami Int'l Airport, Miami
State:
On:
At:

Payment Information \| We do not accept debit cards
Credit card:
Cardholder Name:
Credit card number:
Expiration date:
CVV Security code:	(?)
Billing Address:
City:
State:
Country:
Zip code:

Please tell us about your airline, flight number, arrival time, pick up location, airport name.Â

Please contact me as soon as possible regarding this matter.

Please choose the format than you prefer to download our Reservation Form:

Please choose the format than you prefer to download our Credit Card Authorization Form