Title Page
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Client Name
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Vehicle Registration/Stock Number
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Vehicle Make/Model
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Prepared by
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Date and Time out
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KM Reading, out
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Date And Time In (Complete on Vehicles Return)
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KM Reading, In (Complete on Vehicles Return)
Agreement Terms and Conditions
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Photo of Drivers License
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Accept Responsibility for the Insurance Access of $2,500 if the above mentioned vehicle is involved in an Accident
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Driver to Provide a Current Valid Drives License
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Accept Full Responsibility for total of Damages should Said vehicle be involved in an Accident
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Accept responsibility for all Traffic Infringements and Parking Fines, should there be any whilst in control of vehicle
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Not to Smoke or consume Food or Drink whilst in vehicle
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Not to Transport Animals in vehicle
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Agree to Above Terms and Conditions of vehicle loan
Vehicle Damage Report
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Vehicle Free of Any Major Damage
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Photos of any damage on vehicle
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Accept Vehicle in Current Condition
