ContractMotor Vehicle Rental Agreement • May 14th, 2010
Contract Type FiledMay 14th, 2010Contract No: MOTOR VEHICLE RENTAL AGREEMENT (Check One)Private Passenger Vehicle RentalServiceRental (RentedVehicleis beingrentedonly for usewhilecustomer’s vehicleis beingserviced, repairedor deliveredfromfactory.)Other Vehicle Rental (Rented Vehicle is not designed and used primarily for carrying persons or is a motorbus or motorcycle.) DEALERSHIPNAME("WE","US"), ADDRESS, CITY, STATE, ZIP, TELEPHONENO. CUSTOMER("YOU") RENTED VEHICLEIDENT. NO. LICENSE NO. ADDRESS YEAR/MAKE MODEL/COLOR CITY/STATE/ZIPCODE ODOMETERIN DATE AND TIMEIN AM PM RESIDENCEPHONE BUSINESS PHONE ODOMETEROUT DATEANDTIMEOUT AM PM DRIVERS LICENSENO. STATE EXPIRATIONDATE MILESDRIVEN DATEDUEANDEXPIRATIONOFCONTRACT AM PM LOCAL CONTACTORADDRESS PHONE OTHERTERMS EXTENDTO EMPLOYER’SNAME RENTAL RATES CHARGES EMPLOYER’SADDRESS PHONE HOURS @$ PER HOUR CITY/STATE/ZIPCODE DAYS @$ PER DAY YOUR LIABILITY FOR DAMAGE TO RENTED VEHICLE DAMAGE WAIVER OFFEREDRates: $ per Day $ per WeekRead the separate "Notice About Liability f