| | expiry/licence number/state 12-12 c/card your credit card details here driver 2 ... 08-04-06 time 12:06 12:00 mileage 24223 fuel full -car type and make -registration ... details completed upon check-in check-fuel out in details completed upon check-in ... is to be made by credit/charge card my signature below shall constitute ... to debit my nominated credit/charge card company with the total amount due ... is examined signed for and on behalf of cardholder signature all hirers/drivers named ...
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