Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long do you plan to rent for? *

Due to limited availability, we are prioritizing drivers willing to commit to a minimum of two months.

1-4 weeks

4-8 weeks

More than 8 weeks

Rental Plan *

Which rental plan are you interested in?

Daily Plan - starting at $55 per day

Weekly Plan - starting at $300 per week

What do you intend to use the car for? *

You may check more than one option.

Rideshare

Delivery

Other

How many rides have you completed as a rideshare driver? *

Total completed ride count on Uber and/or Lyft

I don't do rideshare

Beginner - Under 1000

Intermediate - 1000-3000

Expert - 3000 +

How much do you make per week on average? *

Combined from all sources of income

Under $500

$500-$1,000

$1,000 +

Have you rented/leased a car for rideshare or delivery before? *

Yes

No

How did you hear about us? *

Referral

Google

Facebook

Other