Online Rental Form

 

Please complete ALL fields below.


E-Mail Address (user@domain.entity):

Driver's Last Name:     First Name:   

Department:

Contact Information (if other than driver):  Last Name:     First Name:     

Phone #: () -

Office Hours are Monday-Friday 8:00 A.M.-4:00 P.M.  Weekend or after hour rentals must have keys picked up within our office hours.  You are charged according to time the vehicle is picked up. 

Key Pickup (m/d/yyyy)://

Date Leaving (m/d/yyyy)://    Time (hh:mm) : AM PM

Date Returning (m/d/yyyy): / /     Time (hh:mm) : AM PM

Destination:

Purpose of Rental Vehicle:

Compact Car
Midsize Car
Full-size Car
Minivan
12-Passenger Van

Click here to see vehicle charges and rates of automobiles.

Account Number:
   Entity              Department      Subcode      Purpose             Project           Reference         Future
                              

Note: Students can obtain an account number and business travel request through the Student Organization Resource Center (SORC).  For full explanation of restrictions and guidelines please click here