Who is your representative? *
1. Driver Information:
All information is kept strictly confidential; Premier Exotic Car Rentals does not share any of its client’s information to 3rd parties of any kind.
Name *
Date of Birth *
Date of Birth
Phone Number *
Phone Number
Driving Record Disclosure: Please list all and any infractions in the past 5 years. (Any Moving/TrafficViolations) *Note* Premier Exotic Car Rentals check driving records with the DMV regardless and full disclosure is required. Infractions may or may-not impact rental eligibility. Premier Exotic Car Rentals reserves the right to deny any applicant, without providing specifics and/or details of the decision.
2. Authorization
I hereby authorize Premier Exotic Car Rentals to procure a consumer report and / or background check which I understand may include information regarding my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. This report may be compiled with information from credit bureaus, courts record repositories, departments of motor vehicles, or any other source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification; to the extent such investigation includes information bearing on my character, general reputation, personal characteristics, or mode of living. If not booking a reservation - I authorize Premier Exotic Car Rentals to charge my credit card a non-refundable $25.00 processing fee to obtain the aforementioned consumer report ($25.00 for each Additional Driver). Cancellation Policy - I understand that when I make a reservation, Premier Exotic Car Rentals, may authorize my credit card up to the total rental cost of the rental. I understand that if I cancel or reschedule, I will be charged a $100.00 cancellation fee. I further understand that if I cancel or reschedule less than 48 hours prior to my rental or are not present at the time of my rental (“no show”), I will be charged a 50% cancellation fee or up to a full day rental.
3. Vehicle Request:
4. Reservation (not final until confirmed by Premier Exotic Car Rentals)
Rental Period Starting:
Rental Period Starting:
Rental Period Ending:
Rental Period Ending:
5. Credit Card information
We will bill membership processing / application fees and/or rental charges to this credit card number. If you are booking a reservation: We will authorize this card a security deposit (up to $5,000). If left blank, we will authorize the card above. This security deposit will not be authorized until 3 days prior to your rental.
By clicking submit you agree to the above-stated authorization, for your credit card to be charged for the application fee, additional driver fee & security deposit, and acceptance of our cancellation and refund policy.