Chicago Exotic Car Rental

Exotic & Luxury Car Rental Chicago

Chicago Exotic Car Tour
Authorization & Reservation Form


Tour Dates/Prices:

Requested Tour Date:

I will be a: (choose one)
Solo Driver (an observer is permitted but may not drive)Cost: $895.00 + 20% tax
Add an observer who will ride along with you Cost: FREE

	- OR -

Dual Driver (I will be sharing the driving time with another driver)Cost: $595.00 + 20% tax
I will be sharing time with (please indicate name)
Please note: A separate membership form is required for each driver, even if driving time is to be shared.

Customer Information:

First Name:	required.	Last Name	required.
Address:	required.	City:	required.
State:		Zip:	required.Invalid format.
Home Phone:	required.	Mobile Phone:	required.
E-Mail Address:	required.Invalid format.

License & Insurance Information:

Drivers Lic #	required.	State Issued:
Expiration Date: mm/dd/yy	required.	D-O-B: mm/dd/yy	required.

Insurance Carrier:	required.	Policy Number:	required.
Policy Expires: mm/dd/yy	required.	Agent Name:	required.
Agent Phone:	required.

Credit Card Information:

Credit Card Number	required.Invalid format.	Expires: mm/yy	required.
CVV Code:	required.

Cancellation Policy - Reservations for the Chicago Exotic Car Tour are transferable, but non-refundable. You will be charged for the full amount upon making a reservation. In the event that you cancel your reservation, do not show for your scheduled tour, or do not designate a replacement driver (who must be approved by Chicago Exotic Car Rentals), your card will be charged the full amount. Authorization - I hereby authorize Chicago Exotic and Luxury Car Rentals., to procure a copy of my motor vehicle report which I understand may include information regarding my driving history. This report may be compiled with information the departments of motor vehicles, or any other source required to verify information that I have voluntarily supplied. We will authorize your card for the $5,000 security deposit. This security deposit will be authorized 7 days prior to the Tour.