Car Rental Agreement

Car Rental Agreement

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Customer Information

Customer Name*
Home Address*
Drop files here or
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 128 MB, Max. files: 4.
    No additional drivers: Drivers must be 26 yrs of age or older*
    No smoking in the vehicle ($125.00 detailing fee will be added if smoked in)*
    Customer will fill the fuel tank at the indicated level before return of the Vehicle. Failure to refill the tank will result in a charge of $20 per quarter tank of fuel.*
    Customer is responsible for lost car keys, a lockout situation, including electronic keys, remotes, and programming.*

    Rental Agreement Terms & Conditions

    Please check the box below to agree.
    You agree to all the terms and conditions of this Agreement and You acknowledge You were given an opportunity to read this Agreement before You were asked to sign. You authorize Us to process a credit/debit card voucher in Your name for all charges due under this Agreement. You signature below is considered made on the applicable credit/debit card voucher.
    Clear Signature

    Below to be filled out by Levander's at pickup.

    Please proceed to the bottom of this form to complete the ReCaptcha and Submit the form.
    Date Out
    Date Return

    Rental Vehicle Information

    Gas Tank Reading
    ALL CHARGES SUBJECT TO FINAL AUDIT.
    Vehicle Condition Out:
    Vehicle Condition In:
    This field is for validation purposes and should be left unchanged.

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