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Name *

First

Last

Email *

Address *

Mobile Phone Number *

Drivers License Number *

Please list any additional Passengers *

Reservation Option *

Are you an active, current Rideshare and/or Delivery driver? If so with who? *

Age *

Address/City/State/Zip *

Phone Number *

Describe the Vehicle and Driver schedule you need *

Insurance information

Name your Auto Insurance Provider *

Auto Insurance Policy Coverage Number # *

Auto Insurance Coverage Type *

Auto Policy Period (mm/dd/yyyy - mm/dd/yyyy) *

Please upload your Auto Insurance Policy Proof (i.e Card) *

Max file size: 20MB

Please select a which gas plan you would like to use upon checkout.

Choose One *

I will return with a Full tank of gas. I will purchase $50 Pre-Pay gas plan.

Please read, review and accept our Schaffer Consulting LLC Mobile Vehicle terms of agreement. Click here.

I've read and agreed to the following terms and agreements. *

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By clicking Submit, you are requesting the rental of one of the MBVU's of Schaffer Consulting co. Once approved, you will recieve a confirmation email from our staff with Payment instructions. Once Payment is completed, you'll receive an additional email with pickup location, time and instructions.

If you have any questions please email us at info@schafferconsulting.org

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Driver information & assistance
Email us at Info@SchafferConsulting.org
Monday-Friday, 7.30 am - 7.30 pm
Saturday - Sunday, 8.00 am - 6.30 pm

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