CAR RENTAL AGREEMENT

CUSTOMER/ PRIMARY RENTER

First Name: Middle Name: Last Name:
st
Email: 1 Phone #:
nd
DL#: ST: EXP: DOB: 2 Phone #:
Physical Address in Hawaii:
Physical Hometown Address:
ADDITIONAL DRIVER
First Name: Middle Name: Last Name:
st
Email: 1 Phone #:
nd
DL#: ST: EXP: DOB: 2 Phone #:
Physical Address in Hawaii:
Physical Hometown Address:
THE RENTAL VEHICLE(S) DATE and TIME of EXCHANGE:
PRIMARY VEHICLE REPLACEMENT VEHICLE / / @ (am/pm)
Type of Vehicle / Unit # Type of Vehicle / Unit #
Make and Model Make and Model
Year / Color / License # Year / Color / License #
Vehicle ID # (VIN) Vehicle ID # (VIN)
RENTAL RATE and INVOICE
RENTAL PERIOD
The Renter agrees to pay the owner all “TOTAL CHARGES” in advance. Plus
Rental Days are based on 24 hour Rental Period. The Owner agrees to
any additional charges upon return.
rent the above-described vehicle to the Renter for the following period:
Rate per Day $ @ Day(s) $
Start Date: Time: (am/pm) Rate per Week $ @ Week(s) $
Due Date: Time: (am/pm) + Surcharge Tax at $3.00 per Day $
+ Pick Up/ Drop Off/ Delivery $
Return Date: Time: (am/pm) + CDW at $ per Day $
EXACT FUEL level as indicated at PICK UP: + GPS at $ per Day $
E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F + Child seat / Booster at $5.00 per Day $
EXACT FUEL level as indicated at RETURN: + Driver under Age 25 at $ per Day $
E 1/8 1/4 3/8 1/2 5/8 3/4 7/8 F + Additional Driver $5.00 per Day $
Rates do not include fuel. The Renter agrees to replace fuel used or pay +/- $
a refueling charge of $6.50 per gallon, which will be automatically
+ Credit Card Fee 3% VISA/MC or 4% AMEX/DISC $
charged to the credit card on file with no exceptions.
SUBTOTAL $
SECURITY DEPOSIT + Vehicle State Tax at 4.166% $
The Renter agrees to pay a security deposit of $ TOTAL CHARGES $
Paid by card#
+ PAID TOTAL EXTENSION TO: / / $
Name on card
EXP CODE Billing Zip or Postal Code + PAID TOTAL EXTENSION TO: / / $
and / or by Cash in the Amount of $ + PAID TOTAL EXTENSION TO: / / $
to Cruisin’ Maui Rent-A-Car, LLC. Said deposit is to be used, in the ADDITIONAL CHARGES and/or REFUNDS
event of loss or damage to the vehicle or equipment during the term of + Late Return / Recovery / Pick Up / Drop Off $
this Rental Agreement, to defray fully or partially the cost of necessary + $
repairs or replacement; and shall also be used by us to cover any + $
outstanding tickets received within the rental period if not covered by
+ Damage $
the Renter. In the absence of damage or loss, said deposit will be
+ Fuel Service $
returned no later than 30 days after the vehicle has been returned.
+ Cleaning Fee $
CONDITION OF VEHICLE(S) + Credit Card Fee 3% VISA/MC or 4% AMEX/DISC $
Cruisin’ Maui Rent-A-Car, LLC states that to the best of its knowledge + Vehicle State Tax at 4.166% $
and belief that the above-described vehicle(s) is/are in safe condition - Refund $
and free of any known mechanical and cosmetic defects, unless as given
TOTAL CHARGES $
in additional Vehicle Inspection Form. You acknowledge that the
SECURITY DEPOSIT REFUNDED $
Vehicle has no damage except what is listed on the Inspection Form.
BALANCE DUE $

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 CAR RENTAL AGREEMENT
COLLISON DAMAGE WAIVER (CDW)
By entering into this Rental Agreement, the Renter may be liable for any loss or damage to the vehicle resulting from collision or any other cause
regardless of fault. For additional charge the Collision Damage Waiver can be purchased at a rate of $ per day. The Renter
may already be sufficiently covered under their own personal vehicle insurance policy. The Renter should examine their insurance policy to determine if
they are covered and whether their policy provides coverage for collision damage and the amount of the deductible. By initialing below in this box, Renter
understands and ACCEPTS or DECLINES Collision Damage Waiver for rates listed above and for Damage Option below.
By ACCEPTING CDW, Renter accepts full responsibility and personal liability for any and all loss of or damage to the rented vehicle up to
$_____________ per occurrence regardless of any cause or fault. NOTICE: Waiver does not cover loss or damage resulting from any violation in
paragraph 5 of Terms and Condition, for missing vehicle parts or interior vehicle damage other than normal wear and tear caused by occupants.
ACCEPTS______________
By DECLINING CDW, Renter accepts full responsibility and personally liability for any and all loss of or damage to the vehicle regardless of any
cause or fault. Theft is not covered.
DECLINES_____________

RENTER’S PERSONAL VEHICLE INSURANCE

The Renter provides a VALID full comprehensive and collision insurance with:
Company: Exp:

Policy #: Phone #:
You agree that any insurance that provides coverage to you or any authorized driver shall be primary; and such insurance shall be responsible for the
payment of any and all claims. (see also paragraph 6)

ADDITIONAL INFO
How did you hear about us?

With whom are you employed?

RULES OF ACTION (see also Terms and Conditions)
It is absolutely PROHIBITED to use or operate this rented vehicle by anyone not listed on the rental agreement. Each driver must be pre-qualified in
person with valid drivers license and be a minimum of 21 years of age. INT If Driver is under the age of 25 additional fees may apply.
It is absolutely PROHIBITED to use or operate this rented vehicle by anyone who is under the influence of ALCOHOL or any NARCOTICS.
There is absolute NO SMOKING allowed in the rented vehicle under any circumstances. Any found evidence of any kind of smoking in the vehicle a
fine of $350.00 regardless of damage or not will apply. INT
ALL TICKETS, FINES, FEES and other (see paragraph 7) received during the rental period, caused as a result of the renter and/ or rental period must
be paid by the Renter. INT
In case of LOST, DAMAGED or LOCKED INSIDE KEYS requiring key recovery a maximum charge of $350.00 may apply. INT
The passenger capacity of this vehicle is determined by the number of seatbelts and, by law, must NOT be EXCEEDED. While in the Vehicle, please
always fasten you seatbelts. It is the law!
In case the Vehicle will be returned exceptionally dirty a maximum charge of $350.00 CLEANING FEE may apply. INT

Flat or damaged TIRES are renter’s responsibility of the Renter and are the financial responsibility of the Renter or Authorized Driver(s).
Rental Days are based on 24 hour Rental Periods. Please return at the proper time. Each hour past the Rental Period will be calculated at ¼ of a day
charge including all taxes and fees and up to a full day.
No cell phone use while operating the Vehicle unless it is a hands free device such as a Bluetooth. It’s the law, the driver is prohibited from handling
any Electronic device while driving regardless of the behavior of use.

PAYMENT FORM/CARD ON FILE [CREDIT] OR [DEBIT] RENTER’S CARD OR ON FILE [CREDIT] OR [DEBIT]
NAME ON CARD: NAME ON CARD:

CREDIT CARD#: CREDIT CARD#:

EXP: CVV CODE: CARD TYPE: EXP: CVV CODE: CARD TYPE:
BILLING ZIP/POSTAL CODE: BILLING ZIP/POSTAL CODE:
THE RENTER HEREBY AGREES TO RETURN ABOVE DESCRIBED VEHICLE TO CRUISIN MAUI RENT-A-CAR, LLC AS AGREED. BY
SIGNING BELOW, YOU HAVE READ, FULLY UNDERSTAND, ACCEPT AND AGREE TO ALL OF THE TERMS AND CONDITIONS OF THIS
RENTAL AGEEMENT. YOUR SIGNATURE BELOW AUTHORIZES US TO PROCESS A CREDIT CARD IN YOUR NAME FOR ALL RENTAL
CHARGES.

DATE:

AGENT: RENTER:

ADD’L RENTER: ADD’L RENTER:

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 CAR RENTAL AGREEMENT
TERMS AND CONDITIONS

1. DEFINTIONS. “Agreement” means all terms and conditions found on both of this form. “You” or “your” means the person identified as the customer elsewhere in this agreement, any
person signing this Agreement, any Authorized Driver and any person or organization to whom charges are billed by us at its or the customer’s direction. All persons referred to as “you”
or “your” are jointly and severally bound by this Agreement. “We”, “our”, “owner” or “us” means the business named on this agreement. “Authorized Driver”, “Renter”, “Additional
Driver” and “Customer” means the renter and any additional driver listed by us on this Agreement, provided that person has a valid driver’s license and is at least age 21. Only
Authorized Drivers may operate the vehicle. “Vehicle” means the automobile or truck identified in this Agreement and any vehicle we substitute for it, including but not limited to, all
its tires, tools, accessories, equipment, keys, additional rental gear and vehicle documents. CDW means Collision Damage Waiver. “Physical Damage” means damage to, or loss of,
the Vehicle caused by collision or upset, it does not include comprehensive damage or loss, such as, but not limited to: loss of the Vehicle due to theft, vandalism, act of nature, riot or
civil disturbance, hail, flood or fire. Physical Damage excludes interior damage such as burn holes, tears, window stars, window dings or cracks not caused by collision or upset.
“Loss of use” means the loss of our ability to use the Vehicle for any purpose caused by damage or loss during this rental. Loss of use is calculated by multiplying the number of days
from the date the Vehicle is damaged or lost until it is repaired or replaced, times the daily rental rate. “Inspection Form” is the damage report signed by you and taken before and after
the Rental Period.
2. RENTAL, INDEMNITY AND WARRANTIES . This is a contract for the rental of the Vehicle. You are obtaining solely a bailment that allows You to use the Vehicle as permitted by
this Agreement. No one other than the Vehicle Owner may transfer the Vehicle or any right or obligations under this Agreement. Any attempted transfer or sublease of the Vehicle by
anyone other than Us is void. No one may service or repair the Vehicle without Our prior express approval. We may repossess the Vehicle at your expense without notice to you, if the
Vehicle is abandoned or used in violation of the law or this Agreement. You agree to indemnify, defend us, and hold us harmless from all claims, liability, costs and attorney fees we
incur resulting from, or arising out of, this rental and your use of the Vehicle. We make no warranties, express, implied or apparent, regarding the vehicle, no warranty of
merchantability and warrant that the vehicle is fit for a particular purpose.
3. CONDITION AND RETURN OF VEHICLE . You must return to our office on the date and time specified in the Agreement, and in the same condition that you received it, except for
ordinary wear. If the Vehicle is retuned after closing hours, you remain responsible for the safety of, and damage to or loss of, the Vehicle until we inspect it upon our next opening for
business. Service of the vehicle or replacement of parts or accessories during the rental must have our prior approval. Flat or damaged tires in the rental period are renter’s responsibility
and must be paid by Renter. You must check and maintain all fluid levels. The rented vehicle shall always be parked with the top and all the windows CLOSED in a secure area. A
service charge may apply if You return the Vehicle to any other location other than the location from which it is rented.
4. RESPONSIBILTY FOR DAMAGE OR LOSS; REPORTING TO THE POLICE . You are responsible for all loss or theft of, or damage to, the Vehicle, including but not limited to, the
cost of repair, or the actual cash retail value of the Vehicle on the date of loss if the Vehicle is not repairable or if we elect not to repair the vehicle, plus loss of use, diminished value of
the Vehicle caused by the damage to it or repair of it, and our administrative expenses incurred processing the claim. You must report all accidents or incidents of theft and vandalism to
us and the police as soon as you discover them. The Renter needs to contact the owner if vehicle breaks down or if there is any problem or question as to vehicles normal function or
reliability. We will do a vehicle replacement whenever possible, but do not guarantee one. Replacement depends on availability and location. The parties choose the Hawaiian stated
addresses as their physical addresses at which legal proceedings may be instituted.
5. DAMAGE WAIVER. If you purchase CDW, and pay for it in advance or upon time of Starting Date, we will waive our right to collect from you for a portion of Physical Damage to the
Vehicle. We will not waive this right if the damage to the vehicle: (a) is caused by anyone who is not an Authorized Driver, or by anyone whose driving license is suspended in
any jurisdiction; (b) is caused by anyone under the influence of prescription or non-prescription drugs or alcohol; (c) is caused by anyone who obtained the Vehicle or
extended the rental period by giving us false, fraudulent or misleading information; (d) occurs while the Vehicle is used in furtherance of any illegal purpose or under any
circumstance that would constitute a violation of law, other than a minor traffic violation; (e) occurs while carrying persons or property for hire or while pushing or towing
anything, or in any race, speed test or contest; (f) occurs while teaching anyone to drive; (g) occurs while carrying dangerous or hazardous items or illegal material in or on
the vehicle; (h) occurs outside the geographic locations indicated in the Rental Agreement; (i) occurs when vehicle is loaded beyond its capacity; (j) occurs as a result of
driving the vehicle on unpaved; (k) occurs while transporting more persons than vehicle has seatbelts, or while carrying persons outside the passenger compartment; (l) occurs
while transporting children without approved child safety seats as required by law; (m) occurs and the odometer has been tampered with or disconnected; (n) occurs when
the vehicles fluid levels are low, or it is otherwise reasonable to expect that you would know that further operation of the vehicle would damage the vehicle; (o) results from
inadequately secured cargo; (p) where applicable, is caused by anyone who lacks experience operating a manual transmission, or a similar vehicle as the rented vehicle; (q) is
a result of your willful, wanton or reckless act; (r) occurs and you fail to summon the police any accident involving any personal injury or property damage; or, (s) is caused
by an animal transported in the vehicle.
6. INSURANCE. You are responsible for all damage or loss you cause to others. You agree to provide auto liability, collision and comprehensive insurance covering you, us and the
Vehicle. You agree that any insurance that provides coverage to You or to any Authorized Driver shall be primary; and such insurance shall be responsible for the payment of any and
all claims. Where state law requires us to provide auto liability insurance, or if you have no auto liability insurance, we provide auto liability insurance (the “Policy”) that is secondary to
any other valid and collectible insurance whether primary, secondary, excess or contingent. The Policy provides bodily injury and property damage liability coverage with limits no
higher than minimum levels prescribed by the vehicular financial responsibility laws of the state whose laws apply to the loss. You and we reject PIP, medical payments, no-fault and
uninsured and under-insured motorist coverage, where permitted by law. The Policy is void if you violate the terms of this Agreement, or if you fail to cooperate in any loss
investigation conducted by us or our insurer.
7. CHARGES. Charges will continue to accrue until the Vehicle is returned to Us, or if the Vehicle has been stolen, until You report the theft to both the police in the jurisdiction and to Us.
If You use a debit/check card to qualify for a rental, We will not be liable for overdraft charges or for any other losses or liabilities which you may incur in the event that you overdraw
you account. You will pay us, or the appropriate government authorities, on demand all charges due Us under this Agreement, including, but not limited to: (a) time and mileage for the
period you keep the Vehicle, or a mileage charge based on our experience if the odometer is tampered with or disconnected; (b) charges for additional drivers; (c) optional products and
services you purchased; (d) fuel, if you return the Vehicle with less fuel then when rented; (e) applicable taxes; (f) all parking, traffic and toll violations, fines, penalties, forfeitures,
court cost, towing, impound and storage charges, Our processing fees and other expenses involving the Vehicle assessed against us or the vehicle, unless these expenses are our fault; (g)
$50, plus $6/mile for every mile between the renting location and the place where the Vehicle is returned, repossessed or abandoned, plus all other expenses we incur in locating and
recovering the Vehicle if you fail to return it or if we elect to repossess the Vehicle under the terms of this Agreement; (h) all costs, including pre- and post-judgment attorney fees we
incur collecting payment from you or otherwise enforcing our right under this Agreement; (i) a 2% per month late payment fee or the maximum amount allowed by law (if less than 2%)
on all amounts passed due; (j) $50 or the maximum amount permitted by law, whichever is greater, if you pay us with a check returned unpaid for any reason; (k) a reasonable fee not to
exceed $350 to clean the Vehicle if returned substantially less clean than when rented; (l) if You return the Vehicle to any location other than the location from which the Vehicle is
rented; (m) take or attempt to take the Vehicle off the island from which it is rented; and (n) if You direct Charges to be billed to any person, corporation or other entity, You represent
that You are authorized to do so.
8. DEPOSIT. We may use your deposit to pay any amounts owed to us under this Agreement.
9. YOUR PROPERTY. You release us, our agents and employees from all claims for loss of, or damage to, your personal property (including a vehicle) or that of any other person, that we
received, handled or stored, or that was left or carried in or on the Vehicle or in any service vehicle or in our offices whether or not a loss or damage was caused by our negligence or was
otherwise our responsibility.
10. BREACH OF AGREEMENT. The acts listed in paragraph 5, above, are prohibited uses of the Vehicle and breaches of this Agreement. You waive all recourse against us for any
criminal reports or prosecutions that we take against you that arise out of your breach of this Agreement.
11. MODIFICATIONS. No term of this agreement can be waived or modified except by a writing that we have signed. If you wish to extend the rental period, you must return the Vehicle
to our rental office for inspection and written amendment by us of the due-in date. This Agreement constitutes the entire agreement between you and us. All prior representations and
agreements between you and us regarding this rental are void.
12. PASSENGER CAPACITY. The passenger capacity of this vehicle is determined by the number of seatbelts and by law must not be exceeded. While in the vehicle, please always fasten
your seatbelt. It is the law.
13. MISCELLANEOUS. A waver by us of any breach of this Agreement is not a waver of any additional breach or waver of the performance of your obligations under this Agreement.
Our acceptance of payment from you or our failure, refusal or neglect to any our rights under this Agreement does not constitute a waver of any other provision of this Agreement.
Unless prohibited by law you release us from any liability for consequential, special or punitive damages in connection with this rental or the reservation of a vehicle. If any provision of
this Agreement is deemed void or unenforceable, the remaining provisions are valid and enforceable.

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