Fill Out the Form Below to
Begin the Booking Approval Process

First Name *

Last Name *

Phone *

Email *

Do You Have Liability Coverage Car Insurance? *

YES

NO

If so, please upload a copy of your valid automobile insurance card.

Have you had any moving violations in the last 3 years? *

Yes

No

If so, please describe:

How Long Are You Looking to Rent With Us? ** Please Note that if You Rent With Us For At Least a Month, You Will Qualify for Cash Rewards and Insurance Discounts* *

Please upload a color copy of the FRONT of your drivers license *

Please upload a color copy of the BACK of your Drivers License *

*Please note that our rentals are only available to those who check this box authorizing consent. By checking this box, you authorize FlexRide Car Rentals, LLC to receive a motor vehicle report to determine your rental eligibility. This information is for internal purposes only and will not be released to 3rd parties.

Additionally, by checking this box, you agree to receive text messages and email communication regarding available rentals as well as the status of your account.

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