Tell Us About Your

Reservation

First Name *

Last Name *

Email *

Phone *

Where are you located? Please enter city and state. *

How long do you need a vehicle? *

A Month or Longer

Weekly

1 Week Only

Please select which of the following gig platforms you are approved to drive for? (Select all that apply) *

Need a vehicle for Rideshare Apps (Uber, Lyft)

Need a vehicle for Delivery Apps (Instacart, Doordash, Uber Eats, Amazon Flex, Roadie, etc.)

Do you have auto insurance? *

I have car insurance with full coverage.

I have car insurance, but do not have full coverage.

I do not have car insurance.

Auto Insurance Company

Policy Number

Driver's License *

Please upload a legible picture of your valid driver's license (front & back)

Earnings *

Please upload at least 2 weeks of most recent earnings from your active gig platform(s) (must show proof of name on an active account).

I acknowledge that I possess a valid U.S. driver's license. I understand that a valid U.S. driver's license is required to rent/operate a vehicle with EconRentals. *

I acknowledge.

I acknowledge that I will be required to present my physical driver's license at pickup of the car rental. I understand that my driver's license must match the ID uploaded to this form and that failure to furnish driver's license will result in cancellation of reservation and rental. *

I acknowledge

I acknowledge that the information provided is accurate to the best of my knowledge. I understand that misinformation may lead to cancellation of reservation and rental. *

I acknowledge.

I authorize EconRentals reserves the right to decline service based on internal business criteria without obligation to disclose specific findings. *

I authorize.

I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifcations among others. Message freuency may vary. Message & Data rates may plly. Reply HELP for help or STOP to opt-out *

I consent

I consent to receive marketing and promotional messages, including special offers, disocunts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out. *

I consent

Call 954-228-5755

Email: [email protected]

Site: www.econrentals.net

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