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Reservation Form



Avis Discount Code #         Do Not Alter Code


Reservation Date:                  

Reservation Time:                 

Pickup Location:           

Car Rental Return Date:       

Return Time:                        


Return Location:                  


Do not want to get lost?:



Would you like a Child Seat Installed ($4.50usd per child seat per day, $31.50usd per seat per week):



Car Name: 



Last Name:               


First Name:               


Home Phone:            






Flight Number or

Arrival Time:             



Comments or

Special requests:





Once we have confirmed vehicle availability for your selected dates, Cico Avis Rent-A-Car will contact you to confirm your reservation.

If you are satisfied with the information that you have entered, please click the "Submit" button.






Avis Rental Rates Coverage Info Online Reservations

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