Form for requesting a ' short-term lease vehicle or courtesy car'

Does your company need a short-term lease vehicle or a courtesy car?

Reserve one by completing and sending us this digital form.

What’s the difference between a short-term lease vehicle and a courtesy car?

Need a car for a short period of time (a week, a month, …)?
Go for a short-term lease vehicle. Check out our rates.
Ordered a lease vehicle with KBC Autolease and would like a car while you're waiting for your new one to be delivered.
Go for a courtesy car. Check out our rates.

Important: If you'd like to get a car as early as tomorrow, send us your reservation by no later than noon today.

1) Invoicing details

Name of your business

VAT number

E-mail address

Additional invoicing details

Your customer number

2) Driver

First Name

Last Name

Street

Number

Box number

Postal code

Town/City

Country

Date of birth

3) Choose your vehicle

Vehicles are supplied according to availability in the requested class. The cars listed below are for illustrative purposes only.

What is the number of the contract for your long-term lease vehicle? This information is important in order for you to be offered the correct rate.

Enter the contract number in this field (you will find the number on the order confirmation for the long-term lease vehicle)

Do you have specific questions or comments?

4) Lease period

I am leasing the vehicle from

Date

5) Delivery site

Name of your business

Site name

Street

Number

Postal code

Town/City

Contact

Contact’s telephone number

KBC Autolease aims to process your personal data in a manner that is lawful, appropriate and transparent. Further details about how we process and share your personal data are set out in our privacy statement. It explains your rights and how you can exercise them. Our privacy statement is available at www.kbc.be/autolease/privacy, at your branch or from your intermediary and is regularly revised.