Blake’s Car Rental & Lease Application Form

E-mail
Phone Number

Area CodePhone Number
Agreement

(By checking these boxes you are agreeing to our terms & conditions of keeping & caring of our motor vehicle rented & are liable to repair any damages or replace unit if stolen while in your custody - should you have any questions please contact us)
Agreement and Terms
Agreement and Terms
Agreement and Terms
Default Driver Digital Signature

First NameLast Name
Digital Signature Date

MonthDayYear
2nd Driver Digital Signature

First NameLast Name
Digital Signature Date 2

MonthDayYear

Nissan Sentra$2,015.00

31 days

Total $0.00

DGBs Car Rental