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(Make & fill out 2 copies, one for each family)
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Exchange Family #1 |
Exchange Family #2 |
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Dates car is available
(from-to) |
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Car to be exchanged |
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Make |
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Model |
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Year |
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License number |
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Current mileage |
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Where will the keys
be found? |
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Where should the keys
be left when we leave? |
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Name and age
of
each
driver
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1. |
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(No drivers allowed
under age 25) |
2. |
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3. |
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4. |
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Mechanic's name |
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Phone |
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Other phone |
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Address |
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Insurance
agent's
name |
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Phone
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Other phone |
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Address |
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Policy # |
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Limit free mileage to
(number or miles/k) |
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Additional miles/k
$ .15 ea
(adjust as you agree) |
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OR, each car may
be driven an
unlimited distance.
Initial and sign
only if OK |
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In Addition, We Agree That:
1. Car insurance and registration will be placed in a labeled envelope in
the glove compartment.
2. We will not drink alcohol and drive this car.
3. We will not drive the car into a foreign country without the express written
permission of the owner. Note: Most American car insurance is not valid
in Mexico , and there are stipulations for driving in Canada .
4. All drivers will obtain the appropriate driver’s license for that
country.
5. Neither vehicle will be driven by anyone except the drivers listed.
6. The owner of the car is responsible for any repair costs that are the
result of mechanical failure due to normal age and usage of the car.
7. The user is responsible for any damages to the car, and will pay for any
damage to the car not paid for by auto insurance, including deductibles.
8. We will report accidents to the police within 24 hours if damage has occurred
or a person has been injured.
9. We will check oil, water, and tires of the other’s car every 500
miles.
10. We will leave the car clean and with a full tank of gas.
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Exchange Family #1 |
Exchange Family #2 |
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Notes about our car |
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Signatures
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Exchange Family #1 |
Exchange Family #2 |
Print your name Driver 1 |
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Signature |
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Date |
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Print your name Driver 2 |
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Signature |
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Date |
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Print your name Driver 3 |
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Signature |
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Date |
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Print your name Driver 4 |
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Signature |
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Date |
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Thanks!
Hopefully, having this information agreed upon ahead of time
will help smooth your exchange experience!
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