1. Your DetailsName (as it appears on the Driver licence)* Your Contact Email* Your Preferred Contact Number (Mobile Number preferred)*2. Please Select Your Car of ChoicePlease complete a separate request if you are booking more than one car for the same period.Car Selection* Small/Mid-size Automatic- Kia Rio or similar (5 door) Mid-size/Intermediate Automatic, Kia Cerato or similar Third Large/SUV Wagon- Mitsubishi Outlander (7 Seater*) or similar 8 Seater Mini Van Kia Grand Carnival or similar 3. Pick Up Location InformationPick Up Location*Select LocationGold Coast AirportGold Coast Accomodation / ResortRequest LocationBrisbane International AirportHiddenSelect Arrival Terminal (Brisbane) - HIDDEN* Domestic Terminal International Terminal Arrival Date* DD slash MM slash YYYY Flight Arrival Time*Select Hour6789101112131415161718192021222300Minutes*Select Minute000510152025303540455055Flight Number* Accomodation Name* Accomodation Address* Location Address* Date* DD slash MM slash YYYY Preferred Delivery Time*6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM12:00 AMComments4. Return Location InformationReturn Location*Select LocationGold Coast AirportGold Coast Accomodation / ResortRequest LocationBrisbane International AirportIs the Return Location the same as the Pickup Location Yes No Select Depature Terminal (Brisbane)* Domestic Terminal International Terminal Departure Date* DD slash MM slash YYYY Flight Departure Time*Select Hour6789101112131415161718192021222300Minute*Select Minute000510152025303540455055Flight Number* Accomodation Name* Accomodation Address* Location Address* Date* DD slash MM slash YYYY Preferred Return Time*6:00 AM6:30 AM7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM9:00 PM9:30 PM10:00 PM10:30 PM11:00 PM11:30 PM12:00 AMCommentsDo you have any additional requirements?e.g. GPS, Child Restraints etc5. Booking Payment GuaranteeSecure CC details: Please enter your credit card details to Guarantee the booking. Payment; To be made on the day of hire by Cash or Credit card. There will be a 2% Surcharge if you wish to use your credit card. (We accept Visa or Master Card only). A 25% fee of total rental cost applies to all cancelations with minimum of 72 hours notice. All cancelations without 72 hours notice or “NO Show” will be charged for full amount of rental contract.Star Car RentalCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name (as it appears on the card) 6. Driver Information (Optional)If you like to save time upon arrival, please provide your details below so that we can prepare the rental agreement ahead of time. This is optional as we can take care of this part at the time of delivery.Driver 1Name (as it appears on the licence) License No# License Expiry DD slash MM slash YYYY Place of Issue Date Of Birth DD slash MM slash YYYY Full Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Would there be an additional Driver? Yes No Additional DriverName (as it appears on the licence)* Date Of Birth* DD slash MM slash YYYY License No#* License Expiry* DD slash MM slash YYYY Place of Issue* If you need further assistance or clarification, Please contact us Toll Free (Australia) on 1800 82 15 75 or Mobile: 0416 833 183 ( +61 416 833 183 from outside Australia).