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AFFORDABLE VANS & TRUCKS



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Affordable Van & Truck Rentals  
2045 Madison Avenue  
Memphis, TN 38104  




Rental Form

 

Please fill out the short information form below to rent one of our vans or trucks on-line. After you hit the submit button, one of our rental specialist will be sure to contact you shortly to gather information needed to put down a deposit. Fill out rental form only if you're interested in booking a reservation. Price quotes are available when you call our location @ 901-278-7800. A $200 deposit is mandatory to reserve your van or truck. Thank you for your interest in Affordable Van.
Contact Name: *
Address
Your Home Address
city, state & zip
Business
Home Phone #:
 Work Phone #:
Cell Phone #:
 Fax #:
E-mail Address
Please Enter Your E-mail Address
Type of Vehicle to be Reserved
Pick up time is always Monday through Friday 9:00 am to 4:30 pm.
Pick Up Date:
 Time:
Return Date:
 Time:
Destination
City:
 State:
Insurance
Company:
 Agent:
Phone #:
 Policy #:
Comments
Enter Additional Comments

* Required to submit this form
















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