DELUXE CAR RENTAL, LLC
[215] 532-4709 / [646] 597-1900
VEHICLE MUST NOT BE DRIVEN OUTSIDE _____________ MILE RADIUS. CUSTOMER IS ALLOWED _________ MILES FREE PER DAY. EXCESS MILES WILL BE CHARGED AN ADDITIONAL RATE OF ___________ PER MILE.
ADDITIONAL DRIVER
CUSTOMER INSURANCE COMPANY
RENTAL
ALL CHARGES SUBJECT TO FINAL AUDIT
GAS OUT
E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F
GAS IN
E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F
BY SIGNING BELOW, AGREE TO ALL OF TE TERMS AND CONDITIONS OF THIS RENTAL AGREEMENT. YOUR SIGNATURE BELOW AUTHORIZES US TO PROCESS A CREDIT VOUCHER IN YOUR NAME FOR ALL RENTAL CHARGES DUE.
COLLISION DAMAGE WAVER[CDW]
________________By initialing here, you agree to purchase our CDW. Our damage waiver does not cover all instances of damage to the vehicle. There are exclusions. Subject to the conditions in paragraph 5, your responsibility for Physical Damage to the Vehicle is limited to $
________________By initialing here, you decline our Collision Damage Waiver. You agree to be responsible for all damage to, or loss of. the Vehicle.
REJECTION OF UNINSURED MOTORIST PROTECTION
Am rejecting uninsured motorist coverage under this rental or lease agreement, and any policy or insurance or self insurance issued under this agreement, for myself and all other passengers or this vehicle. Uninsured coverage protects me and other passengers in this vehicle for losses and damages suffered if injury is caused by t he negligence of a driver who d o e s - n o t h av e a n y insurance lo pay for losses or damages.
NO DRIVERS UNDER 21
IN CASE OF ACCIDENT CALL POLICE & YOUR INSURANCE CO. THEN RENTAL OFFICE