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MILES4LESS CAR RENTAL
CLIENT INFORMATION FORM

 
Driver1
Driver2
First Name:
Last Name:
Resident Address:
City , State, Zip:
Phone Number:
Email:
Date of Birth :
Gender:
Marital Status:
Any college degree:
US Drivers License #:
Address on Drivers License:
Drivers License Issue Date:
Drivers License Exp Date:
State where it is issued:
Foreign License #
DL Issue Date:
Remark:

 
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