Complete this form to arrange the pick-up of your short or mid term vehicle. Submit date Customer's details Customer's name Contact person's name Customer's e-mail address Driver's contact details First name Last name License plate of the vehicle to be picked up Date of contract termination Please indicate the date from which the car will be available at the address stated below. On this date, the contract will also be terminated. Date of contract termination Please indicate the date from which the car will be available at the address stated below. To allow us to properly organise the de-hire and possible inspection of the vehicle, we ask you to inform us 5 working days prior to the desired de-hire date about the availability of the vehicle. Arval will terminate the lease contract on the desired de-hire date provided that we are informed about the required pick-up location, time and date 5 working days in advance. The car must be picked up At the dealer At the client's address At the driver's address Location of the pick-up The dealer's name Specific location of the customer Street Number Postcode Municipality Do you have additional remarks or information? I confirm I have read the Arval Data Protection Notice.