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Contact
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703-967-5801
Rental Dates and Vehicle Selection
Desired Pick up date
*
Estimated Return Date
*
Which vehicle size you most interested in?
*
Pick your ride
Sedan
Hybrid
SUV
Sedan
Hybrid
SUV
Do you currently reside in the DMV area (DC, Maryland, or Virginia)?
*
Select...
Yes
No
Yes
No
Rideshare Information
Are you a rideshare or delivery driver? (doordash, instacart, uber etc)
*
Select...
Yes
No
Yes
No
Rideshare Information
Please upload a screenshot of your profile (Ex showing trip details and ratings associated with your name)
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
What platform are you currently using?
*
Doordash
Uber Eats
GrubHub
InstaCart
Medical Courier
Lyft
Uber
Other
Please upload Proof of income from the rideshare or delivery platform (recent payout screenshot or statement)
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Approximately how many miles do you typically drive per week?
*
Driver and Insurance Information
Upload a clear photo of the FRONT of your driver's license
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Upload a clear photo of the BACK of your driver's license
*
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Do you have full coverage insurance?
*
Not required - insurance options available
Yes
No
Not Sure
Yes
No
Not Sure
Contact Information
Full Name
*
Date of birth
*
Email
*
Phone
*
Address and Additional Details
Address
Street Address
City
State
Zip code
Have you ever been convicted of a felony or misdemeanor?
*
Select...
Yes
No
Yes
No
How did you hear about us?
*
Select...
Facebook
Instagram
Referral
Google
Other
Facebook
Instagram
Referral
Google
Other
How long are you looking to potentially rent with us?
*
Select...
Less than 3 weeks
3 weeks or more
More than 6 months
Less than 3 weeks
3 weeks or more
More than 6 months
By providing my phone number, I agree to receive text messages from Active Global Rides
I do not agree to receive text messages from Active Global Rides
Text us at (571) 200-5456 for support or inquiries. By texting us, you agree to receive SMS replies from . Message frequency may vary. Message and data rates may apply. Reply STOP to opt out or HELP for help.
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