METRO FLEET RENTALS

METRO FLEET RENTALS

METRO FLEET RENTALS

BOOKING FORM
- Name
  
  First NameLast Name
- Date of Birth
  
  MonthDayYear
  Date
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- RELATIONSHIP -
- Drivers License Number :
  Issuing State :
  Expiration Date :
- Upload :
- Drivers license ( front )
- Drivers license ( back )
- Selfie Holding license
- Checkbox :
- Vehicle requested:
- Rental Type:
- Rental Pick up
  
  MonthDayYear
  Date
- Rental Drop Off
  
  MonthDayYear
  Date
- Pickup:
- Dropoff
- Vehicle Use
- Do you carry personal auto insurance?
- Carrier Name
  Policy Number
- Interested in optional CDW?
- (Conditional section if Uber/Lyft selected)
- Platform:
- Uploads:
- Screenshot of active driver account
- Recent Earnings Screenshot
- Income verification
- Checkbox
- Payment method:
- Name on Card :
  
  Billing Zip:
- Checkbox
- Required Checkboxes
- Have you had:
- Any Accidents in past 3 years?
- Any DUI/Reckless Driving?
- Any suspended license history?
- Any pending auto claims?
- Explain if yes :
- Signature
- Date
  
  MonthDayYear
  Date
Should be Empty: