Formissions | Hand / Car

Choose your language / Kies uw taal:

Loan car form

Please fill out the form below to apply for a loan car. We kindly request you to be as accurate and complete as possible. Feel free to leave any comments and questions in the text box at the bottom of the form.

When you fill out the car form and send it to us, it is only a request for a loan car. It is not a reservation and it is no guaranty that we have a car available for you.

Tip: Use the tab key to go to the next form field to save time.

All fields marked with an asterisk (*) and colored blue are mandatory!

Contact details

Title	Firstname *	Prefix	Last name *	Your organization *

Organization website *	E-mail *	Telephone	Fax	Cell Phone	Country

Address you will be staying during the car loan:

Street	Number	Postal code	City	Country

Expiration date of the validity of your driver's license

Date: *

(DD/MM/YYYY)

Make sure that you only submit this form after you've made sure that your driver's license is still valid up till the end of the period you want a loan car, otherwise we will either not be able to give you the car on pickup or you have to return it early. Both options leave costs to be payed for.

2. Contact person information
Full name	Telephone	E-mail

Our aim is to allocate cars based on the missionary's personal situation. Please answer the following questions as accurate as possible. Cars can only be picked up between 9:00 - 16:30 hours Monday to Friday. Please know that cars can not be picked up or returned on a Saturday or Sunday

Car needed from *	Car needed until *
(DD/MM/YYYY)	(DD/MM/YYYY)

Please use the exact date format as specified next to the text field

Persons in the car *	of which children *
	(Note: We have no car seats for children available.)

Some countries have special car requirements:

Select one of the following options: *
Car will only be used in the Netherlands
Use car also outside the Netherlands.
Please specify countries below
(Please be accurate, also fill in countries you're not yet sure you'll be going to. ):

It's important for us to know if you'll be driving in or through Germany.
Driving on snow-covered roads in Germany is permitted only if your car is equipped with winter tires. Use of regular tires can result in a fine and, much worse, in case of an accident you lose complete insurance coverage!

Feel free to leave a comment or question here: