Wizard Profile Application



Please fill appilcation form and submit.


Application form

Avis Wizard Profile New application
Additions to an existing Avis Wizard Profile.
Existing Avis Wizard Profile no.:
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Information

First and last names
Company
Tax Identification Number (NIP)
Street and number
Postal code and Town
Country
Contact phone
Driving licensee number
Country of issue:
Day of birth
Place of birth
If an Avis Worldwide Discount Number (AWD no.) has been issued to your company, please state here the number below:
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Optional Insurance

Collision Damage Waiver (CDW) Yes
No
Personal Accident Insurance (PAI) Yes
No
Theft Protection (TP) Yes
No
Personal Effects Protection (PEP) - only in USA Yes
No
Additional Liability Insurance (ALI) Yes
No
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Credit Card Information

The Avis Wizard Profile may be used in connection with various credit cards. Please tick the box for the charge card you wish to use: EuroCard/Access/Mastercard
Visa
Diners Club
American Express
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Frequent traveller: If you are member of a "Frequent Traveller" club and this entitled to points in connection with Avis car rental, please fill in (only one number):

Airline/Hotel
Frequent Traveller no.:
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