Rental Agreement




                        RENTAL AGREEMENT

R.A.

Unit_______

Make of Car_________Color_________Year_________Tag_________

Date Out____________Time Out______________Date Due In______

Date In__________Time In______________Extra Hours _________

Driver's

Lic.__________State________Expiration_______Birthdate______

Driver's Name_______________________Home Phone_____________

Home Address_________________________ Rate per Day_________

Local Address________________________ Rate per Week________

Credit Card: Master Charge  Diner's Club  Mileage Charge___
             American Express  B.A.C.
                  Carte Blanche           Mileage In_______

Number___________________Expiration______ Mileage Out______

Employed by______________Phone___________ Mileage Driven___

Address__________________________________ Rental Charge____

Renter's Insurance Co.___________________ Mileage Charge___

Renter's Policy__________________________ Collision________

Second Car__________Date______Tag________ P.A.I.Coverage___

Make_______________Color_________Year____ Other Charges____

Reason for Exchange______________________ Sales Tax _______

CUSTOMERS ARE RESPONSIBLE FOR ALL         TOTAL DUE________
            TRAFFIC VIOLATIONS
                                            Deposit________
Gas in car when rented: 1/4  1/2  3/4  Full
By his initial, Renter accepts/declines   Balance Due______
personal accident insurance (PAI) at $1.00
per day.  Acceptance is proof of coverage Refund __________
under policy issued as outlined in separate
synopsis.                              CASH    CHECK  cREFIT
                                                       CARD
Accepted______________Declined ____________


This contract covered with COLLISION DAMAGE WAIVER for which
I agree to pay an additional charge of $2.00 per day.  In
event any of the terms of this rental contract are violated,
this clause shall be null and void, and the Lessee shall be
liable to the Company for all damages to the vehicle.

BY________________________________________

I do not want COLLISION DAMAGE WAIVER and accept full
responsibility for all damage to rented car up to $250.00.
In the event any of the terms of this rental contract are
violated, this clause shall be null and void, and the Lessee
shall be liable to the Company for all damages to the
vehicle.

BY________________________________________

                          Rented by________________________

                          Recommended by___________________
                                           Continuation of 5054

                    LESSEE PAYS FOR GASOLINE

The vehicle desribed above shall not be operated by any other
person than the Lessee who signed the rental agreement or his
employer or by persons regularly employed by such Lessee in
the usual course of his business or an adult member of his
immediate family at least 21 years of age.

The Lessee is responsible for theft of car unless keys are
removed and doors locked.

I HAVE READ BOTH FRONT AND REVERSE SIDES OF THIS CONTRACT AND
AGREE TO ALL OF THE TERMS.

Signed (Lessee)_____________________________________________



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