Car Rental Reservation Form

My Products

2021 Nissan Sentra - $475/week (500 miles included) Product Image

2021 Nissan Sentra - $475/week (500 miles included)(1000 miles included) - $525/week. (Unlimited miles) - $590/week

$450.00 MILEAGE PACKAGE

2013 Kia Soul - $350/week (500 miles included) Product Image

2013 Kia Soul - $350/week (500 miles included)(1000 miles included) - $425/week. (Unlimited Miles) -$490/week

$350.00 MILEAGE PACKAGES

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.

$150.00 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

Total

$0.00

Pick Up Date & Time*

Date

Hour MinutesAM/PM Option

Drop Off Date & Time

Date

Hour MinutesAM/PM Option

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