Online Booking Form
Please use this form to enquire about your choice of vehicle availability. Providing the below information will
ensure your vehicle is reserved and will speed up the rental process when you arrive in Udon Thani.

We have a free pick up service from anywhere in Udon Thani and airport

PLEASE NOTE: For your convenience, If all forms are filled out and you have 2 copy's of your passport you may
take the vehicle immediately when we pick you up.

All information provided remains confidential and will not be sold, rented or distributed to any other party.
* Required Field
Personal Details
Your name:
*
Passport Number
Date of issue
*
 *
Expiry Date
Date of birth
*
*
Country of Issue
*
Contact Address
*
Country Address
*
Email Address
*
Telephone No's
*
Driving License Number
*
International Driving
License Number
Date of issue
Expiry Date
 Country Of Issue
*
Airport Pickup
I do not require pickup
Vehicle Pickup Time
Arrival Date
Schedule Arrival Time
Type of Vehicle Requested
Date Vehicle Requested
Date Vehicle Requested Till
Payment Method
Please Invoice me using Paypal
I will pay cash on arrival
Please Note: If paying deposit using Paypal you do not need to be a member and none of your
credit card details will be disclosed to ourselves or any third party's.

Rental Terms: I understand that by submitting this Rental Reservation I agree that the vehicle
reservation will remain valid from the time that you state that you will arrive to pick up the vehicle
for a maximum of half a day allowing for any delays. Please inform us of any such delay.  

I Understand that I am collecting the vehicle at:
I agree and accept all the conditions on the terms & conditions page:
I accept
I do not accept
Extra questions or enquiry
Once we receive all the information above we will confirm your reservation and price by email and will forward
an invoice of deposit securing the hire of vehicle.

With best regards

Lek Car Rental

                                                                                                                                Copyright 2002 Samantha Mo
Under Thai - Western Management