I agree to release and forever hold harmless Sheila Moran Stanush, Kristin Moran Esparza, The Moran Family, Moving Dreams, Inc.,
Daughters of Bermuda LLC dba RE/MAX Access, and all its affiliates and all other persons from any and all claims of damage to or by the driver, passengers or cargo arising out of the use of the 2001 white Isuzu NPR truck bearing the VIN JALB4B14917003643.
To not SMOKE in the truck;
To return the truck with a FULL TANK of DIESEL fuel;
To not use a CELL PHONE while operating the truck;
To return the truck in the SAME CONDITION as when I picked it up;
To return the truck to the SAME LOCATION where I picked it up, unless directed otherwise;
That I am RESPONSIBLE for any citations, fines or fees associated with parking illegally, moving violations, collisions and/or towing;
I agree to deliver a $100 deposit check payable to RE/MAX Access for my use of the truck. I understand the deposit check will be cashed if I return the truck with out refilling the fuel tank, cause damage physically or mechanically or any other expenses incurred to due my use of the truck. I understand that there is an inspection of the moving truck after each use and that if any repairs exceed the $100 deposit, a claim will be filed with MY INSURANCE carrier. If the truck does not require anything after my usage, my check will be shredded or mailed back to my at my request.
By my submission of this form, I attest that I have viewed the MOVING TRUCK instructional video, read the MOVING TRUCK TIPS and that any and all damage to the truck will be directed to my insurance carrier as stated below or to me for payment.
PLEASE ENTER YOUR DRIVERS LICENSE NUMBER, STATE AND DATE OF BIRTH, YOUR INSURANCE COMPANY NAME AND POLICY NUMBER UNDER ADDITIONAL COMMENTS BELOW AND EMAIL A COPY OF YOUR PROOF OF INSURANCE TO Kristin@KristinMoran.com
*Indicates a Required Field