Findlay Toyota & Scion Rental Reservation Form

Please complete all required fields below. The more complete this form is the faster we can complete the rental process on the
day of the rental. All renters and drivers must be at least 21 years of age, be present at time of rental, have a valid driver's license
and have current proof of insurance. Main renter also needs a valid major credit card. These items, for all drivers, must be
presented to the rental agent at time of rental or rental will be refused.

Renter Information

(Must be 21 years old or older with a valid drivers license, proof of insurance & Major Credit Card)
Renter's Name Email  

*First Name

*Last Name
 
Address

*Street Address

Address Line 2

*City

*State

*Zip
Birthdate Phone  
//
*MM/DD/YYYY - Must be 21 years old or older 		--
*Phone Number 		 
Driver's License    

*License Number

*State
//
*Expires - MM/DD/YYYY

Additional Driver

(Must be 21 years old or older with a valid drivers license & proof of insurance)
Name Email  

First Name

Last Name
 
Address

Street Address

Address Line 2

City

State

Zip
Birthdate Phone  
//
MM/DD/YYYY - Must be 21 years old or older 		--
Phone Number 		 
Driver's License    

License Number

State
//
Expires - MM/DD/YYYY

Additional Driver

(Must be 21 years old or older with a valid drivers license & proof of insurance)
Name Email  

First Name

Last Name
 
Address

Street Address

Address Line 2

City

State

Zip
Birthdate Phone  
//
MM/DD/YYYY - Must be 21 years old or older 		--
Phone Number 		 
Driver's License    

License Number

State
//
Expires - MM/DD/YYYY

Local Contact Information

(If you are visiting us from out of town please provide a local address such as: Casino, Hotel, Relative etc)
Name Phone  
--
Phone Number 		 
Address    

Address, City, State, Zip

Bill To Information

(If rental is being paid by a third party such as an insurance company please provide that information here)
Name Phone  
--
Phone Number 		 
Address

Street Address

Address Line 2

City

State

Zip
Authorized By

Agent Name
Claim Information

Policy Number, Claim Number, etc.
Amount Authorized

Dollar Amount

Rental Information

(Vacation, Business, Service Replacement, Accident Replacement etc.)
Rental Purpose

*Vacation, Business, Accident, etc.
Vehicle Model Requested

*Specific Model or Vehicle Type
Pick-up Date Pick-up Time  
//
*MM/DD/YYYY

*HH:MM AM/PM
Return Date Return Time  
//
*MM/DD/YYYY

*HH:MM AM/PM

Additional Comments, Questions or Requests

Maximum 250 Characters