Willow & Stone Motor Club – Driver Intake Form

Emergency Contact Information

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Reference 1

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Reference 2

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Reference 3

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Allowed file types: PDF, JPG, PNG, HEIC. Maximum file size: 20MB.

Certification Statements

Please initial beside each statement to certify your agreement.

1. Payments are due weekly in advance; no extensions.
2. I will return the vehicle if I cannot pay.
3. Vehicle may be repossessed for non-payment.
4. Payments are accepted only by Zelle or cash.
5. All information and uploaded documents are true and accurate.

Legal Authorization & Signature

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