Rental Contract Slingshots Please fill out all of the following fields in the form below. Representative First Last Today's Date* MM slash DD slash YYYY How did you hear about us ?* Driver InformationName* First Last Email* Phone*Emergency Contact Number*Home Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Hotel/Airbnb Address* Room Number* Name of Auto Insurance Provider / State Issued* Additional Driver First Last Age Phone Additional Terms and Conditions* The driver of the Rented vehicle and any passenger over the age (weighing over 60 pounds) must wear a seat belt. Passengers cannot exceed 300lbs per seat. PLEASE BE AWARE all vehicles have a GPS tracker. This will report to us & you any reckless, aggressive, speeding (speeds over 80mph which is over the legal limit of 65mph). Spinning, burnouts, drifting, hard acceleration are prohibited. If we receive this report you could lose partial or full amount of your deposit. The insurance deductible is $3.5k per accident. We will take a deposit for all rentals and hold for any incidentals. *You could be charged$25 per alert (not text message) if the vehicle is abused in anyway. Rentals are due back by 12pm the next day (for day rentals if picked up after 12pm). Unlimited miles for 1, 2, 3 hour rentals. Mile allowance for day rentals is 250 miles. If you go over you will be charge $4.89 per additional mile. (Automatic and 4-Seater Slingshots must be returned by midnight on the day they were rented). (Extended time can be allowed for additional costs on approval) If you don’t return the vehicle with the same amount of gas when your departed there will be a charge of $15 per gallon to refill. Also you will be given a 15min. grace period for your return. If you exceed the grace period, you will be charged $150 for each additional hour.(This is considered a Late Fee). ALL RENTALS ARE FINAL SALES WITHOUT REFUNDS. An option to exchange for same rental value can be made upon authorization. By signing below, you: agree to the terms and conditions of this Agreement as set forth on the Face Page, in the Terms and Conditions, and any other document that you sign; acknowledge that you had the opportunity to read the entire Agreement before signing; authorize is to process a separate credit/debit card voucher in your name for all charges, including tolls and violations; and authorize us to release your billing/rental information to third parties for billing/processing purposes. All charges are subject to final audit. I am agreeing to ALL the Charges and Services Provided by VSSR Corp. and Hold them Harmless from any Chargebacks or Fees from the Rental By Checking Off Each Box You Are Admitting to Have Read and Are Accepting Each Individual Condition Signature*By Signing I am agreeing to all terms and conditions stated in this contract.2nd Driver SignatureBy Signing I am agreeing to all terms and conditions stated in this contract.