golD、riD E、rEntAls CustomEr inFormAtion: nAmE:______ ADDrEss:______ phonE numBEr:______ typE oF vEhiClE DEsirED(ChECk onE): CAr() vAn() motorCyClE() othEr(spECiFy: ) moDEl & mAkE:______ insurAnCE* (ChECk All DEsirED): trAvEl() hEAlth() liFE()BrEAkDown () EstimAtED rEntAl pErioD:(DAys) rEntAl purposE(ChECk onE): BusinEss() lEisurE() othEr(spECiFy: ) mAjor DEstinAtions AntiCipAtED During rEntAl(Fill in thE BlAnks): 1) stAtE______City______ 2) stAtE______City______ 3) stAtE______City______ golD riDECEntEr vEhiClE will BE rEturnED to:______ pAymEnt mEthoD(ChoosE onE) ·CAsh · trAvElErsChECk ·CrEDitCArD [CArD numBEr AnDExpirAtionDAtE:______ ______ ______ ______/______/______] (vEhiClE FEE sChEDulE on sEpArAtE pAgE) By signing BElow, you AgrEE to thE Following tErms: thE vEhiClE sElECtED By thE CustomEr must BE rEturnED to A golD riDE rEntAlCEntEr in thE sAmE ConDition As At timE oF rEntAl. thE CustomEr is liABlE For Any DAmAgE to thE vEhiClE whilE in his or hEr possEssion, inCluDing But not limitED to BoDy, EnginE, tirEs or intEriors. rEntAl ChArgEs ACCruE EvEry 24 hours AnD BEgin upon thE CustomEr tAking possEssion.ChArgEs EnD whEn thE vEhiClE is FormAlly rEturnED to Any golD riDE rEntAlCEntEr. ADD-on CovErAgE AgAinst Collision AnD thEFt: $ 75 pEr typE rEquEstED、 whAt is not A rEntAl AgrEEmEnt . A、DAmAgEs to thE vEhiClE will rEsult in A FinE. B、ChArgEs must BE pAiD within 24 hours oF rEntAl. C、vEhiClEs mAy BE rEturnED to Any storE loCAtion. D、insurAnCE AgAinst thEFt Costs ExtrA、