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Short Term Rental Contract Create
Short Term Rental Contract Create
Renter
Name
Address
Driver's Licence Number
Expiry Date
State / Country of issue:
Date of Birth
Mobile Number
Email
Additional Authorised Driver
Name
Address
Driver's Licence Number
Expiry Date
State / Country of issue:
Date of Birth
Mobile Number
Email
Vehicle
Make
Model
Registration Number
Odometer Reading @ Check Out:
Odometer Reading @ Check In
Fuel tank full at Start of Rental?
Yes
No
Rental Period
Start Date
Start Time
End Date
End Time
Damage Excess
Payable for Damage, Third Party Loss or theft of the Vehicle
Additional Damage Excess for drivers 21 to 24 years
Security Bond
Amount payable
Rental Charges
Days
Price
Total
Excess kilometres (more than 100km per day):
Price
Total
Fuel
Price
Total
Reduce excess to $500: All CC fees waived for this option
Price
Total
Bond
Credit Card fee: Credit Card fees - 2.2% if card not present, 1.9% if present
Credit Card Details
Credit Card type
Visa
Master Card
Other
Name on the Card
Credit Card Number
Expiry Date
CCV Code
Pre-existing damage : Word Limit- 264
<p>Driver side rear 1/4 has 2 large scratches. Drive side rear 1/4 panel has a large scrape over wheel arch. Stone chips on the bonnet. Rear passenger door has some surface scratches. Paint peel on door handles & passenger mirror. Hub caps scuffed. Interior clean & tidy. </p>
Notes : Word Limit- 264
<p>Please return in a clean tidy state & refill petrol in Edwardstown immediately prior to return. </p> <p>NO SMOKING OR PETS IN THE VEHICLE. A $250 CLEANING FEE WILL APPLY. </p>
Print Date
Rental Status
(Please select)
Active
Completed
SUBMIT
