Secured Booking Submission Form | Instant Luxury Rentals

Instant Luxury Rentals policies, procedures, and technical systems that store, process and/or transmit cardholder data, have performed the required procedures to validate compliance with the PCI DSS, the best practices designed to protect merchants and consumers from data security breaches and fraud.

Secured Booking Submission Form:

Please submit the following requested info for approval on this secure web form that is confidentially delivered to our compliance department for validation and verification purposes.
Once approved, we will then email you a Credit/Debit Card Authorization Form to eSign. Credit card will not be charged until Credit Card Authorization Form is electronically signed.

One Official Form of Picture Identification of Driver License (Front & Back Photos).

Proof of Auto Insurance: App Screenshot, Document or photo of Insurance Card.

Confirm Dates, Time, Vehicle and location of Pickup/Return.

Accepted Quote Number: *

Primary Driver Name: *

Secondary Driver Name:

Phone: *

Phone 2:

Email: *

Email 2:

Proof of Insurance:

Please upload either a mobile screenshot from your insurance company's smart phone app or an official card or document from your carrier that displays your policy number and the policy holder's information with clearly legible non-blurry text/image quality.

Proof of Insurance Document/Screenshot Upload:

Driver License(s):

Please upload a full-resolution photo of the FRONT side of the primary and secondary (if applicable) driver license with clearly legible non-blurry text and image quality.

Driver License (FRONT) Photo Upload:

Please upload a full-resolution photo of the BACK side of the primary and secondary (if applicable) driver license with clearly legible non-blurry text and image quality.

Driver License (BACK) Photo Upload:

Cash Transfer App:

If you don't have a credit or debit card, you can use a cash transfer app. Please provide the following details for the app you'd like to use:

Zelle: Phone number or email address
Venmo: Username
Cash App: $CashTag

Include your Payment Profile ID to help us process your payment request. Please note: Payments will not be processed until the Compliance Department has validated your identity.

Delivery Info. Confirmation:

Please provide final confirmation of your reservation's Dropoff and Return Dates, your Requested Delivery Time, Vehicle and the rental's Delivery Location Address:

Additional Notes & Comments:

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Instant Luxury Rentals policies, procedures, and technical systems that store, process and/or transmit cardholder data, have performed the required procedures to validate compliance with the PCI DSS, the best practices designed to protect merchants and consumers from data security breaches and fraud.

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