Hassle Free Car Rentals

Email: info@hasslefreecarrentals.ca

Renter Info

First Name:

Last Name:

Address:

Phone #:

Email #:

DOB:

Vehicle Details

Make / Model:

Licence #:

KM Out:

Fuel Out:

KM In:

Fuel In:

Insured By:

Condition Out:

Description	Units	Rate ($)	Total
Daily
Extra Daily
Weekly
Monthly
KM Included
Additional KM Charge / KM
Border Cross Fee
Options Total
Sub Total
GST (5%)
PST (7%)
Vehicle Licensing Fee / Day
Provincial Road Tax / Day
Parking Recovery Fee / Day
Total Charges

Additional Driver:

Authorization Security Deposit:

Renter Signature:

ADL Signature: