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Rental Dates and Vehicle Selection

Pick up date *

Return Date *

Which vehicle size you most interested in? *

Rideshare Information

Are you a gig driver? (doordash, instacart, uber etc) *

Please upload a clear screenshot of your active profile (for example, showing trip details, your name, and your current ratings). If you work with multiple gig platforms, please upload separate screenshots for each platform to verify your activity and ratings across all services you use *

Driver and Insurance Information

Please upload clear, readable photos of the Front and Back of your driver’s license. This will be used to verify your identity, confirm eligibility, verify your license is valid and active and conduct a Motor Vehicle Report(MVR) to review your drivers history *

Do you have full coverage insurance? *

Contact Information

Full Name *

Are you 25 and up? *

Email *

Phone *

Address and Additional Details

Address *

Street Address *

City *

State *

Zip code *

How did you hear about us? *

How long are you looking to potentially rent with us? *

Consent to Contact & AI Voice Disclosure By submitting this form, I expressly consent to receive phone calls and text messages from Legacy Rentals, including marketing and promotional communications, at the phone number provided. I understand that calls may be made using automated technology, prerecorded messages, or an AI-powered voice system, and that consent is not a condition of purchase or rental. Message and data rates may apply. I may opt out at any time by replying STOP to any text message or by contacting Legacy Rentals directly.

Contact Us - We’re Here to Help!

Have questions or need assistance with your car rental? Our friendly team is ready to support you every step of the way.

COMPANY

GET IN TOUCH

(555) 123-4567

[email protected]

96 clinton Ave Newark NJ 07114

Reserve your ride here

Contact Us - We’re Here to Help!

COMPANY

GET IN TOUCH

[email protected]

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