Reserve a Luxury or Exotic Car in MA, NH, CT, RI

Name*

FirstLast

Date of Birth:*

MM/DD/YYYY

Driver's License #*

License State*

Email Address *

Address*

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Home Phone

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Mobile Phone*

Insurance Carrier*

Policy #*

Agent Name

Agent Phone

Application only. No reservation now, thanks. (Leave the fields below blank if you're not reserving now)

Vehicle (check all that apply)

Rental Period Starting:

: HH

MM

Pickup from Status Ride [no charge]
Pickup from Logan Airport [n/c]
Pickup from TF Green Airport [n/c]
Delivery

Airport pick up only for clients flying into that airport and renter needs to show plane ticket to waive drop off fee.

Delivery to:

If you selected "Delivery" above, please type the full address here.

Rental Period Ending

: HH

MM

Drop off to Status Ride [n/c]
Drop off to Logan Airport [n/c]
Drop off to TF Green Airport [n/c]
Pickup

Airport drop off only for clients flying out of that airport and renter needs to show plane ticket to waive drop off fee.

Pickup From:

If you selected "Pickup" above please type the full address here.

Authorization. I,*

hereby authorize SRYMC, LLC on behalf of STAUS RIDE of 482 Southbridge St, Auburn, MA 01501, to run a RMV report (Motor Vehicle Report) with the state the renter is insured in. You also state you have not been cited for any of the following within the last 3 years: Reckless driving. Driving under the influence of a controlled substance (DWI or DUI). Leaving the scene of an accident. Operating a vehicle without insurance
Cancellation Policy - I understand that when I make a reservation, SRYMC, LLC on behalf of STAUS RIDE may authorize my credit card up to the total rental cost of the rental. I understand that if I cancel or reschedule more than 24 hours after making a reservation, I will be charged a 50% cancellation fee. I further understand that if I cancel or reschedule less than 7 days prior to my rental or are not present at the time of my rental ("no show"), I will be charged a 100% cancellation fee. Reservation not final until Status Ride confirms with you.

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