• Mercy Luxury Rentals Priority Rental List

    Join the Mercy Luxury Rentals Priority Rental List for economy vehicles starting at $350-$400 per week. Qualified applicants are contacted in the order they join as vehicles become available. Applications are subject to review and approval. Applicants must be 21 years of age or older with a valid driver's license to qualify.
  • Format: (000) 000-0000.
  • Preferred Contact Method*
  • Is your driver's license valid?*
  • Are you at least 21 years old?*
  • Driver's License Verification

  • Upload Front
    Drag and drop files here
    Choose a file
    Cancelof
  • Upload Back
    Drag and drop files here
    Choose a file
    Cancelof
  • Please upload a selfie holding your driver's license. This is used for identity verification.
  • Upload Selfie
    Drag and drop files here
    Choose a file
    Cancelof
  • Desired Start Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • How soon do you need a vehicle?*
  • Upload Proof
    Drag and drop files here
    Choose a file
    Cancelof
  • A $150 refundable security deposit is required for all rentals. The deposit is refunded after the vehicle is returned in accordance with the rental agreement and no additional charges apply.
  • Preferred Payment Method*
  • Preferred Pickup Location*
  • Weekly Budget*
  • Do you have full coverage insurance?*
  • Do you have your own active auto insurance policy?*
  • Upload Proof
    Drag and drop files here
    Choose a file
    Cancelof
  • Weekly rental rates may be reduced if you have your own active auto insurance policy. Proof of insurance is required for consideration.
  • Will you be driving for Uber, Lyft, or Delivery?*
  • Rental Qualification

    Please answer the following questions to complete your application.
  • Have you ever had a rental vehicle repossessed?*
  • Have you ever been convicted of auto theft or insurance fraud?*
  • Have you had any DUI or reckless driving convictions within the past 5 years?*
  • Will anyone other than you be driving the vehicle?*
  • Upload License
    Drag and drop files here
    Choose a file
    Cancelof
  • Should be Empty: