I authorize Exotic Car Rentals of New Jersey to obtain my
insurance information from .

Policy Number

Please provide policy limits and deductibles to Exotic Car Rentals upon their request.

I also authorize Exotic Car Rentals of New Jersey to charge my credit card for the amounts discussed in the accompanying email/fax or previous discussions for the reservation and deposit for overages.

Cancellation Policy & Fees: I recognize that this rental is for a unique and specialized vehicle and my reservation will be guaranteed and the rental vehicle will be held for me until the scheduled rental time. There is a $100.00 cancellation fee if the reservation is cancelled within 10 days of the rental period.

A 50% charge of the total rental price will apply if you cancel within 5 days of the rental period. A 100% charge of the total rental price will apply if you cancel with 72 hours of the rental period or if you do not show up for the rental. Call from 9:00AM – 5:00PM Monday through Saturday to cancel.

I also acknowledge that smoking is not permitted in any vehicle.

Please state whether you agree or disagree: I Agree I Disagree

Your Name:      

Your email:     

Today's Date:   Month: -select one- January February March April May June July August September October November December Day: -select one- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 2007 2008 2009 2010

Please remember to also submit the Renter's Information Form
and if renting a sports car, the Rainy Weather Form.