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Vehicle Information

Rental Type* ---8 Passenger Minivan10 Passenger Transit Van12 Passenger Transit VanCargo Van 3/4 TonPickup ½ Ton Truck12 Ft Cube Truck15 Ft Cube Truck16 Ft Cube Truck16 Ft Box Truck24 Ft Box Truck16 Ft Stake Truck24 Ft Stake TruckTandem Axle Tractor

Rental Model*
---PersonalBusiness

Promo Code #

Pick-Up Date and Time*

Time of Day: ---7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm

Return Date and Time*

Time of Day: ---7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm

Personal Information

First Name*

Last Name*

Company Name

Estimated Miles to be Driven*

How did you hear about us?* Saw your trucksGoogle SearchFacebookYelpFoursquareYellowPagesSaw your TV commercialReferral from a friendI am a previous customerSternberg representative called on meOther

If other, please explain

Contact Information

Address*

City & State*

Zip Code*

Business Phone

Cell Phone*

Email Address*

Credit / Debit Card Alert Waiver

When renting a vehicle and using your Credit / Debit Card, we will be charging your account for the estimated charges of Time, Optional Coverage & any Moving Accessories Plus a $200.00 (Two Hundred Dollar) fee that Mileage, Fuel & any Overtime charges will be processed from. If you wish to extend your rental at a later date we must be able to charge your account for the amount of the extension. Once you return the rental vehicle a credit will be issued, it will be up to the processor and your bank as to how long it takes before the funds are available in your account. This could take up to 10 working days. Thrifty does not give Cash Refunds on Credit Cards and cannot assume any responsibility for your account balance or fees.

If you do not understand & agree with the above statement, please ask to cancel your Rental Transaction.

By clicking submit, I confirm that I understand the above information.

Payment Type* ---VisaMastercardDiscoverAmerican ExpressDirect Billing (Pre-approved accounts)