Car Rental Reservation Form

Available Vehicles

2021 Nissan Sentra

$85.00

Rental Period	Duration	Price
Daily		$85.00
Weekly		$450.00
Monthly		$1,590.00

2016 Ford Focus

$75.00

Rental Period	Duration	Price
Daily		$75.00
Weekly		$375.00
Monthy		$1,333.00

2013 Kia Soul

$65.00

Rental Period	Duration	Price
Daily		$65.00
Weekly		$350.00
Monthly		$1,188.00

SOLD OUT!

$ Free Quantity

SOLD OUT!

$ Free

SOLD OUT!

$ Free Quantity

Deposit RequirementsYour Deposit Will Be Returned Upon Returning the Vehicle Back in Good Condition. We accept all forms of payment. There is NO DEPOSIT if you pay with a credit card through our payment portal. Zelle, ApplePay & PayPal require a $250 REFUNDABLE deposit. Cash app requires a $350 REFUNDABLE deposit. CASH is a $400 refundable deposit.

$100.00 PAYMENT OPTIONS

DUNIA RENTALS INSURANCESelect your daily insurance option below. You may upload proof of your active auto insurance above, or choose to purchase rental coverage for $27 per day. Insurance is required for all rentals and must remain active for the entire rental period.

$27.00 Amount of days

MILEAGE PACKAGESDaily rate include 100 miles per day. Additional miles: $0.75 per mile.

$ Free

Miles	Packages	Price
500/week		$0.00
1000/week		$75.00
Unlimited Miles		$150.00

Total

$0.00

This is a fill in the blanks field. Please add appropriate blank fields and text.

Pick Up Date & Time*

Date

Hour MinutesAM/PM Option

Drop Off Date & Time

Date

Hour MinutesAM/PM Option

Returns after 6:00 PM are subject to a late return / after-hours fee of $25 per hour (minimum $50). For pickups after 6:00 PM, the return time is the same pickup time on the following day. Same-day rentals are charged as one full rental day.

Name*

First NameLast Name

Phone Number*

Email*

example@example.com

Date of Birth*

DOB

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I understand that I must notify the owner of the vehicle IMMEDIATELY in the event that I have an accident.*

I agree

I understand that there is a kill switch in the vehicle and the owner will turn off if I don't submit payment.*

I agree

I understand that renters under 25 must pay a one-time, non-refundable underage fee of $150 per reservation. Renters under 21 must pay a $225 underage fee per reservation. This fee applies to each new rental booking.*

I agree

I understand that I must provide proof of active auto insurance for the entire rental period. If I cannot provide valid insurance, I agree to pay $27 per day for required state-minimum coverage in Pennsylvania.*

I agreeI agree & I have my own insurance

Take Driver's License Photo

Please Upload your Drivers License*

Please upload a selfie of yourself holding your DL*

Please upload PROOF OF INSURANCE here

YOUR RESERVATION WILL NOT BE COMPLETE UNTIL YOU SIGN THE RENTAL AGREEMENT AND RECEIVE A CONFIRMATION EMAIL! Please scroll to next page for Rental Agreement.

Signature*

Please sign this form as receipt that you have received our Terms & Agreements and Agree to adhere to them.

Car Rental Reservation Request