Rental Application

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WHEELCHAIR VAN RENTAL APPLICATION

  • DRIVER INFORMATION (ALL DRIVERS MUST BE PRESENT TO SIGN RENTAL CONTRACT UPON TRANSFER OF RENTAL VEHICLE)
  • (A confirmation number for your reservation will be emailed to this address)
  • ADDITIONAL DRIVER INFORMATION (ALL DRIVERS MUST BE PRESENT TO SIGN RENTAL CONTRACT UPON TRANSFER OF RENTAL VEHICLE)
  • ADDITIONAL INFORMATION
    (Please bring proof of certification)
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  • (Please Note: We are closed on Saturday and Sunday)
  • AIRPORT/HOME DELIVERY & PICK-UP INFORMATION
    (OPTIONAL) - ADDITIONAL COSTS APPLY - CALL FOR RATES
  • DELIVERY
  • PICK-UP
  • Credit Card will be charged the full amount of the rental upon reservation.
    Cancellation Policy:
    • 1 Week Notice: Full Refund
    • 3-6 Days Notice: 1/2 (half) of Full Rental Prepayment
    • Less than 3 Days Notice: Forfeit of Full Rental Prepayment