Test 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.

First Name (Driver #1)*

Last Name (Driver #1)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Check Car Out On*

Check Car In On*

Do You Get Paid Mileage When Driving Your Own Vehicle?*

Do You Have Additional Licensed Driver(s)?*

Driver #2

First Name (Driver #2)*

Last Name (Driver #2)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Driver #2 Information

First Name (Driver #2)*

Last Name (Driver #2)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Driver #3 Information

First Name (Driver #3)*

Last Name (Driver #3)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Driver #2 Information

First Name (Driver #2)*

Last Name (Driver #2)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Driver #3 Information

First Name (Driver #3)*

Last Name (Driver #3)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Driver #4 Information

First Name (Driver #4)*

Last Name (Driver #4)*

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*

Please Attach Picture of Driver's License. File size cannot exceed 1MB. Accepted file formats are jpg or pdf.

Date of Birth*

# of Accidents in last 3 years)*

Marital Status*

Email Address*

Insurance Information

Name of Insurance Provider*

Policy Number*

Agent's Name*

Agent's Phone Number*

Reason for Needing a Temporary Car*

Household Members

Individuals who live in your home and may or may not be family members.

Household Member #1 Name

Relationship

Age

Household Member #2 Name

Relationship

Age

Household Member #3 Name

Relationship

Age

Household Member #4 Name

Relationship

Age

Household Member #5 Name

Relationship

Age

Household Member #6 Name

Relationship

Age

Sponsor Information

Sponsor's First Name*

Sponsor's Last Name*

Relationship to Sponsor*

Email*

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.