ZylinX Rentals — Rental Pre-Qualification
Weekly vehicle rentals starting at $325/week. Available for rideshare, delivery, work, commuting, and personal use. Complete this quick pre-qualification to see if you meet our basic rental requirements. Qualified applicants will continue to the full rental application.
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Intended Use of Rental Vehicle
*
Uber / Lyft
DoorDash / Uber Eats / Delivery
Personal Transportation
Work / Commuting
Other
Do you have a valid U.S. driver’s license?
*
Yes
No
How long have you held a valid driver’s license?
*
Less than 1 year
1–2 years
3–5 years
More than 5 years
Is your driver’s license currently suspended, revoked, or expired?
*
No
Suspended
Revoked
Expired
Have you had any DUI/DWI convictions, major moving violations, or serious at-fault accidents within the past 3 years?
*
Yes
No
Do you understand that a refundable security deposit is required at vehicle pickup and is separate from your rental payment?
*
Yes
No
Do you understand that rental payments are due according to the agreed rental schedule and must be paid on time?
*
Yes
No
Do you intend to operate the rental vehicle outside of the approved rental area?
*
Yes
No
Do you agree to the company’s no-smoking policy?
*
Yes
No
Pre-Qualification Status
Qualified for Further Review
Not Qualified
Submit Pre-Qualification
Should be Empty: