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Rental Request Form

Thank you for choosing Pine Grove Auto Sales for your rental needs.
Please provide the following information to request a rental reservation.
You may also call us TOLL FREE.
(888) 290-1189

Now receive 2 FREE days with coupon when you rent for 5 days or more.
Complete the form below to print your free coupon.

*indicates a required field

Reason for Renting*  
Name*
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone*
Day Phone
FAX
Email*
Date Needed*  
Time of pick up*  
Expected Return*  
Class of Rental*  
Comments

This request does not guarantee you a rental.
We will be contacting you ASAP to confirm your reservation.

Pine Grove Auto Sales | 78 Suedberg Road | Pine Grove, PA 17963
Toll Free (888) 290-1189 | Phone (570) 345-2556 | FAX (570) 345-3515

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