Shofer Vehicle Allocation Request Form
Use this form to apply for a Shofer Vehicle Allocation.
You must already be an approved Flexidriver account holder in order to proceed.
Begin
 
Your Name *

 
Mobile Number *

 
Requested Vehicle Pickup Date *

Please list what date you'd like to pickup the Shofer vehicle.
 
Vehicle Return Date *

Please advise the date you intend to return the Shofer Vehicle
 
Vehicle Collection & Return Agreement *

I, {{answer_57884934}} agree to pickup a Shofer vehicle on {{answer_57884949}}and return it on {{answer_57884981}}.
I also agree that I'll be charged an upfront fee of $100 to secure my vehicle booking.

I agree that this charge is a deposit on the vehicle hire for the period from
 {{answer_57884949}} to {{answer_57884981}}.
This deposit (minus the vehicle rental of $50 per day) will be refunded to me on the next working day. (Please note it can take up to 7 days for the payment gateway to process refunds)

I agree to return the vehicle with a full tank of fuel and for the inside and outside of the vehicle to be clean.
I agree that my deposit may be used to fuel the vehicle and/or to clean the inside/outside of the vehicle.

I agree that in the event of an accident I may be liable for an insurance excess as per described to me in the Shofer Systems Manual.
     
 
Flexidrive Deposit:  {{var_price}} *

This will be charged to your account straight away.
Please make sure you are 100% committed to collecting the vehicle as deposits can take
7-10 working days to be refunded.
 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


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