Borrow A Car Application

Please complete the application below. Once submitted your computer will immediately indicate that you have had “a successful submission” or it will say that “you didn’t complete all of the required fields, please go back and provide the necessary data and resubmit. Once your computer tells you that you have made a “successful submission”, we will forthrightly receive your application in our email. If you haven’t heard from us in 24 hours from the time you submitted the application, please text 507-530-2022 and indicate that you have submitted an application and are waiting for a follow-up call.

Name (Driver #1)*

First Name

Last Name

Home Phone Number*

(ex. XXX-XXX-XXXX)

Mobile Phone Number*

(ex. XXX-XXX-XXXX)

Address*

City*

State*

Zip Code*

Driver's License Number*

State Issued*

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Date Out*

Date In*

Paid for Mileage*

Name (Driver #2)

First Name

Last Name

Home Phone Number

(ex. XXX-XXX-XXXX)

Mobile Phone Number

(ex. XXX-XXX-XXXX)

Address

City

State

Zip Code

Driver's License Number

State Issued

Date of Birth

# of Accidents in last 3 years

Marital Status

Email Address

Name of Insurance Provider*

Policy Number*

Agent's Name*

Agent's Phone Number*

Reason for Needing a Temporary Car*

Occupant #1 Name

Relationship

Age

Occupant #2 Name

Relationship

Age

Occupant #3 Name

Relationship

Age

Occupant #4 Name

Relationship

Age

Occupant #5 Name

Relationship

Age

Occupant #6 Name

Relationship

Age

Sponsor's Name*

First Name

Last Name

Relationship to Sponsor*

Address*

City*

State*

Zip Code*

Day Phone Number*

(ex. XXX-XXX-XXXX)

Evening Phone Number*

(ex. XXX-XXX-XXXX)

How Did You Hear about Spin-zone?

Please leave this field empty.