% of the fleet for
Ins. Replacement
 % of the fleet
New Cars
Used Cars
Pickup Trucks
Cargo Vans
 % of the fleet
7 Pass Vans
15 Pass Vans
This application may not be used to bind coverage and no coverage commences: Completion of this application by a prospective insurance buyer is for the purpose of transmitting information only.  Any agreement or contract binding insurance coverage must be done on a separate document.  Coverage will commence only upon the effective date of a separate contract binding insurance coverage issued by an agent authorized by the company.  
Signature:   I declare to the best of my knowledge that all statements herein are true and no material facts have been suppressed or misstated.  I am also aware that my operation may be inspected by the insurance company.  In addition, I authorize any prior insurance carrier to release underwriting and claim information to GMI for the purpose of qualifying my business for the coverages requested.
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Yes, I am interested in getting a quote for insurance. I realize that Auto Rental Solutions is a consulting group and will assist me in getting the proper insurance for my rental car location. I agree to pay the fee of $186.00 for their assistance in finding the proper carrier for my company. Click on the circle below *