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RENTER INFO

PH:

CH Car Place Inc

162 Bergen st

Brooklyn, NY 112113

PH#

Monday 9:00 AM - 6:00 PM
Tuesday 9:00 AM - 6:00 PM
Wednesday 9:00 AM - 6:00 PM
Thursday 9:00 AM - 6:00 PM
Friday 9:00 AM - 6:00 PM
Saturday 9:00 AM - 6:00 PM
Sunday 9:00 AM - 6:00 PM

ADDITIONAL AUTHORIZED DRIVER(S)

UNIT DETAILS

Unit : Sedan

Make & Model : Toyota & Camry

BILL TO :

Payment Type : Unpaid

AUTH : $0.00

Referral:

NOTICE: Collision Insurance (CDW) - $7 per day

Limits liability of damages to one's own vehicle up to $1000 in event of an accident, by waiving this coverage renter agrees to be hold liable for damages up to the entire value of the vehicle

Accept

Reject

Rental service may be refused anyone when done in the best interest of the renting company or customer - Rates do not include gasoline. -Reserves the right to collect deposit covering estimated rental charges.

Reservation

REPAIR ORDER:

CLAIM:

Date/Time Out: Invalid date

Date/Time In: Invalid date

CHARGE SUMMARY

Charge
Unit
Rate
Total
Daily
0
0
$0.00
Weekly
0
0
$0.00

Total Estimated Charges
$0.00

Your rental agreement offers, for an additional charge, an optional waiver to cover all or a part of your responsibility for damage to or loss of the vehicle: Before deciding whether to purchase the waiver, you may wish to determine whether your own automobile insurance or credit card agreement provides coverage for rental vehicle damage or loss and determine the amount of the deductible under your own insurance coverage. The purchase of the waiver is not mandatory. The waiver is not insurance. I acknowledge that I have received and read a copy of this

Renter's Signature

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Additional Driver 1

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