Car	Fiat Linea Fiat Linea Eco Fiat Panda Fiat Panda Eco
Pick-Up place	Kraków Bydgoszcz Częstochowa Gdańsk Gorzów Katowice Kielce Łódź Nowy Sącz Nowy Targ Opole Poznań Radom Rzeszów Szczecin Tarnów Toruń Warszawa Wrocław Zakopane Zielona Góra	Return Place	Kraków Bydgoszcz Częstochowa Gdańsk Gorzów Katowice Kielce Łódź Nowy Sącz Nowy Targ Opole Poznań Radom Rzeszów Szczecin Tarnów Toruń Warszawa Wrocław Zakopane Zielona Góra
Pick-Up street		Return Street
Pick-Up time	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 15 30 45	Return time	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 00 15 30 45
Pick-Up Date		Return Date

Additional equipment

Safety seat for children
Safety seat for babies

Roof Carrier		Roof Carrier (Box)
Ski Carrier		Bicycle Carrier		No Carrier

First Name:

Street:

Country:

Firm:

Last Name:

Town:

e-mail:

Comments:

Phone No.:

Postal Code:

TAX No.:

Payment:

At the time of hire

Money transferPrzelew

Credit card

Credit card - 1 day reservation fee

Money transfer - 1 day reservation fee

I hereby agree to the use of my personal data, according to Article 23
of the Personal Data Protection Act dated September, 29, 1997