Rental Request Form

Personal Details
Full Name*

First NameMiddle NameLast Name
Preferred Name
Date of Birth*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Driver's License
To proceed with the rental process we require proof of the following:
- Your full name
- Your date of birth
- Your residential address
Accepted document types:
- Driver's license
- Passport
- Bank statement
- Utility bill (electricity, gas, etc.)
- Criminal record check
- Rental agreement
- Any other official document with the required details
You can provide these documents now or bring them along at pick-up.
When Would You Like to Provide these Documents?*
What Documents Will You Provide at Pick-up?*
Upload Documents*

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By providing your email address, you consent to receiving correspondence from Rush Rental by email AND you agree that no notices or correspondence will be sent by traditional mail. It is your obligation to update your email address when necessary.

Personal Details