Online Rental Order Form

* Required Information

Full Name *

Phone Number *

Date *

Address *

Email Address *

City *

State *

Proof of your Drivers License (Front) *

Proof of Insurance *

Check Out Date *

Check In Date *

Initials
Rate $ x days/hours
Deposit $
2 5/16” HD hitch rental $10
Delivery/Pick up charge
3% processing
Damages
Clean up fee $20
Late fees ($30 per hour)
Balance due at return

I acknowledge receiving all items above and know that I am responsible for returning all items in good working condition or else I will be expected to pay for that item.

I have carefully inspected the trailer, tires, hitch and find them all in satisfactory condition.

I understand that I am responsible for any and all damages up to and including theft

By signing below you acknowledge that you have been given an opportunity to read the Term and Conditions of this Agreement before being asked to sign. Your signature authorizes us to process a credit card voucher for all charges due to us under this agreement, including later payment of any traffic, toll or parking violations assessed against the Trailer.

Signature *

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Date *