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*

All invoices are to be paid in full days from the date of the invoice & delivery or pick up of the motor vehicle.
Agreement and Terms*

I am agreeing to your terms & conditions of keeping & caring of this motor vehicle rented or leased & I am commuting to repair any damages or replace unit if stolen while in my custody.
Agreement and Terms*

By submitting this car rental & lease application, you authorize us to make inquires into the place of employment stated above and the buisness references that you provided.
Default Driver Digital Signature*

First NameLast Name
Digital Signature Date*

MonthDayYear
2nd Driver Digital Signature*

First NameLast Name
Digital Signature Date 2*

MonthDayYear

My Products

Nissan Sentra$2,015.00

31 days

Total $0.00

DGBs Car Rental