Payless Car Rental: Franchise Information: Request for Consideration Form

PAYLESS CAR RENTAL SYSTEM, INC.

Please complete the following information in order to receive information on Payless Car Rental franchise opportunities. This is not an application. Should you qualify and wish to pursue a possible Franchise we will provide you with an application form for consideration by our Franchise Development department.

To ensure a quick response, please fill out ALL applicable blank fields.

**Personal Data:**
Name:		Home Phone:
Address:		Business Phone:
City:		Facsimile:
State:		E-mail:
Country:		Best time to call:
Postal Code:

The following information will allow us to service your request more efficiently.

Please indicate the territory of interest:

Do you have any car rental or automotive experience?: Yes: No:

Additional information or comments: