Hertz #1 Club Gold® Enrolment Agreement
permission. Because of the nature of Hertz #1 Club Gold, You LUXURY CARS. ALL CHARGES ARE SUBJECT TO CHANGE RESPONSIBILITY FOR DAMAGE TO THE VEHICLE. BEFORE DAMAGE OR THEFT IS CAUSED INTENTIONALLY OR BY THE
understand the urgency of this obligation. WITHOUT NOTICE. YOUR OWN INSURANCE (OR THAT OF AN DECIDING WHETHER TO PURCHASE THE LOSS DAMAGE WAIVER, GROSS NEGLIGENCE OF YOU OR AN AUTHORISED DRIVER.
8. As of 1 January 2006, the Gold membership fee is US$50 for one AUTHORISED OPERATOR) MAY COVER ALL OR PART OF YOUR YOU MAY WISH TO DETERMINE WHETHER YOUR OWN Before deciding whether to purchase TP and/or CDW or SC, You
year, which fee may be waived by Hertz. At any time during the FINANCIAL (OR THAT OF THE AUTHORISED OPERATOR) FOR AUTOMOBILE INSURANCE AFFORDS YOU COVERAGE FOR should determine whether You have other insurance that affords
year You may notify the Enrolling Company in writing of Your LOSS OR DAMAGE TO THE CAR. DAMAGE TO THE RENTAL VEHICLE AND THE AMOUNT OF THE You coverage for loss of or damage to the Car and, if so, what the
desire to cancel Your Gold membership and obtain a refund of 10. NOTICE: THIS CONTRACT OFFERS, FOR AN ADDITIONAL DEDUCTIBLE UNDER SUCH COVERAGE. terms of such coverage are (including any limitations and
Your paid membership fee for the remaining months of the year. CHARGE, A LOSS DAMAGE WAIVER TO COVER YOUR 15. Under Minnesota law, a personal automobile insurance policy excesses). Personal Insurance/Personal Accident Insurance (PI/PAI)
Hertz reserves the right to cancel or suspend Your membership for RESPONSIBILITY FOR DAMAGE TO THE RENTAL VEHICLE. YOU issued in Minnesota must cover the rental of the motor vehicle is available at an additional daily charge and provides certain
any reason at any time, without notice. If Hertz cancels Your ARE ADVISED TO CAREFULLY CONSIDER WHETHER TO SIGN THIS against damage to the vehicle and against loss of use of the benefits for You and Your passengers for accidental death.
membership, it will refund to You a pro rata portion of the WAIVER IF YOU HAVE RENTAL VEHICLE COLLISION COVERAGE vehicle. Therefore, purchase of any collision damage waiver or Depending upon the country in which the rental commences,
membership fee You paid with respect to the period in which the PROVIDED BY YOUR CREDIT CARD OR COLLISION INSURANCE similar insurance affected in this Enrolment Agreement is not PI/PAI may also provide benefits for permanent disability, certain
cancellation occurs, unless cancellation occurs following Your ON YOUR OWN VEHICLE. BEFORE DECIDING WHETHER TO necessary if your policy was issued in Minnesota. injuries, medical and emergency expenses and/or damage to or
failure to pay any sums payable by You to Hertz or any of our PURCHASE THE LOSS DAMAGE WAIVER, YOU MAY WISH TO 16. FOR RENTALS COMMENCING IN TEXAS: YOU MAY NOT NEED theft of personal possessions (includes baggage) during the rental.
licensees, subsidiaries or other affiliates or Your violation of any of DETERMINE WHETHER YOUR OWN VEHICLE INSURANCE THE 18. For rentals in Australia, Hertz will, subject to certain exceptions
the terms of this Agreement or any other obligation owed by You AFFORDS YOU COVERAGE FOR DAMAGE TO THE RENTAL AUTOMOBILE INSURANCE OFFERED BY HERTZ. YOUR TEXAS under the Rental Agreement, associated with Prohibited Uses,
to any Hertz company. If You return Your Gold card within thirty VEHICLE AND THE AMOUNT OF THE DEDUCTIBLE UNDER YOUR AUTOMOBILE POLICY PROVIDES COVERAGE FOR YOUR LIABILITY Prohibited People and Full Responsibility Uses, be responsible for
(30) days of receipt, and before renting a car using Gold, then You OWN INSURANCE COVERAGE. YOU ARE ALSO ADVISED TO WHILE OPERATING A RENTAL VEHICLE. AUTOMOBILE POLICIES any loss of or damage to the rental car, except for the first
will receive a full refund of Your membership fee. Your DETERMINE WHETHER SUCH COVERAGE IS PROVIDED UNDER ISSUED IN OTHER STATES OR COUNTRIES MAY ALSO DUPLICATE AUS$2,750.00 (including GST), Accident Damages Excess (ADE) or
membership will expire on the expiration date specified on Your THE AGREEMENT REGARDING THE CREDIT CARD WHICH IS USED THIS COVERAGE. THE PURCHASE OF AUTOMOBILE RENTAL such other amount specified on the Rental Agreement. An
Gold Card, or in the absence of such expiration date after 12 TO PAY FOR THE RENTAL OR FROM ANY OTHER SOURCE AND IF LIABILITY INSURANCE IS NOT REQUIRED AS A CONDITION OF additional Accident Damage Excess of AUS$2,200 (including GST)
months from submission to You of such card, unless, in either case, SO, THE TERMS AND SCOPE OF SUCH COVERAGE. THE PURCHASE RENTING AN AUTOMOBILE. THIS INSURANCE DOES NOT APPLY applies to each instance of a Single Vehicle Accident or Water
Your membership is renewed or extended for an additional period OF THIS LOSS DAMAGE WAIVER PRODUCT IS NOT MANDATORY TO ANY BODILY INJURY OR PROPERTY DAMAGE ARISING OUT Damage other than by total or partial immersion. Optional
of 12 months upon payment by You of any membership renewal AND MAY BE DECLINED. OF THE USE OR PERMITTING THE USE OF A RENTAL VEHICLE BY Accident Excess Reduction is offered for AUS$22.00 (including
fee notified to You by Hertz. Hertz reserves the right not to renew 11. THE INSURANCE COVERAGES OFFERED BY HERTZ MAY ANY DRIVER WHILE UNDER THE INFLUENCE OF DRUGS OR GST) per full or partial rental day to reduce the standard ADE to
Your membership and will not be obliged to provide any PROVIDE A ALCOHOL IN VIOLATION OF THE LAW. AUS$375.00 or such other amount specified on the Rental
explanation for not doing so. DUPLICATION OF COVERAGE ALREADY PROVIDED BY A RENTER’S 17. For rentals in Europe, Middle East and Africa (EMEA), Hertz Agreement (including GST). Optional Accident Excess Reduction
9. THE FOLLOWING INFORMATION IS PROVIDED REGARDING PERSONAL AUTOMOBILE INSURANCE POLICY OR BY ANOTHER offers a Plus (AER PLUS) is offered for AUS$28 (including GST) per full or
YOUR SOURCE OF COVERAGE. THE PURCHASE OF THESE KINDS OF number of optional services each for an additional daily charge. If partial rental day; AER PLUS provides the same benefits as AER and
RESPONSIBILITY FOR LOSS OF OR DAMAGE TO ANY CAR WHICH COVERAGE IS NOT REQUIRED IN ORDER TO RENT A VEHICLE. taken, Theft Protection (TP) will limit Your responsibility for loss also eliminates liability for tyre and/or windscreen damage. The
YOU RENT IN THE UNITED STATES OR CANADA USING GOLD. 12.FOR RENTALS COMMENCING IN THE DISTRICT OF COLUMBIA. of or damage to the Car, its parts or accessories, which is caused additional Single Vehicle Accident and Water Damages Excesses
MORE DETAILED INFORMATION APPEARS IN PARAGRAPH 4 OF WARNING:FAILURE TO RETURN THE CAR IN ACCORDANCE WITH by theft, attempted theft or vandalism to the non-waivable excess cannot be reduced through the purchase of AER or AER PLUS.
THE NORTH AMERICAN TERMS. EXCEPT AS STATED IN THE TERMS OF THE RENTAL AGREEMENT MAY RESULT IN A stated on the Rental Record. If taken, Collision Damage Waiver Other Renter Protection Options are available at participating
PARAGRAPH 4 OF THE NORTH AMERICAN TERMS, YOU ARE CRIMINAL PENALTY OF UP TO 3 YEARS IN JAIL. (CDW) will limit Your responsibility for loss of or damage to the locations. For rentals in New Zealand, You are liable for the first
RESPONSIBLE FOR ANY AND ALL LOSS OF OR DAMAGE TO THE 13.Unless waived, a renter in Miami-Dade County must be Car, its parts or accessories, other than caused by theft, attempted NZ$2,200.00 (NZ$2,500.00 for vehicle groups H, J, K, L & M) or any
CAR REGARDLESS OF FAULT. FOR RENTALS IN THE UNITED furnished a theft or vandalism, for each such incidence of loss or damage other amount as shown on the Rental Agreement (plus GST) of
STATES AND CANADA, HERTZ OFFERS, FOR AN ADDITIONAL county-approved visitor information map. These maps are arising from a separate event, to the non-waivable excess stated on any loss or damage to the rental vehicle referred to in the
CHARGE, A LOSS DAMAGE WAIVER (LDW). IF YOU ACCEPT LDW, available the Rental Record. If You take CDW and TP, You may also take insurance cover specified in clause 10 of the Terms & Conditions
WHICH IS NOT INSURANCE, HERTZ WILL NOT HOLD YOU at all Hertz locations in Dade County. Each renter must either Super Cover (SC), in which case You will receive the benefit of applicable to Gold rentals in New Zealand. This does not apply to
RESPONSIBLE FOR LOSS OF OR DAMAGE TO THE CAR, SUBJECT acknowledge receipt of such a map or waive his or her right to CDW and TP and Your liability for the excesses in relation to both damage or loss resulting from fire or theft or conversion or
TO CERTAIN RESTRICTIONS AND EXCLUSIONS WHICH ARE receive such a map. By signing the Enrolment Form, You hereby CDW and TP will be eliminated. SC is not available in some attempted theft or conversion of the vehicle. This liability may be
DISCUSSED IN PARAGRAPH 4(d), 4(e) AND 5 OF THE NORTH waive Your right to receive such a map. countries or for rentals attached to certain CDP numbers. If you reduced to NZ$0 by payment of the optional Accident Excess
AMERICAN TERMS. IN THOSE STATES WHERE THE SALE OF LDW 14. NOTICE: IF YOU HAVE COLLISION COVERAGE UNDER YOUR choose SC and it is not available for Your rental, You will receive Reduction of NZ$22.00 per day (NZ$25.00 per day for vehicle
IS REGULATED OR PROHIBITED, THAT LAW WILL GOVERN YOUR OWN Super Collision Damage Waiver (SCDW), where available, and TP. If groups H, J, K, L & M), plus GST. All rates, excess, and reduction
RESPONSIBILITY FOR LOSS OR DAMAGE TO THE CAR. LDW AUTOMOBILE INSURANCE POLICY WRITTEN IN LOUISIANA, SCDW is also not available, You will receive CDW and TP. If You are amounts are stated as of 1 January 2006, are subject to change
ENTAILS AN ADDITIONAL CHARGE. AS OF 1 JANUARY 2006, THE YOUR COLLISION COVERAGE AUTOMATICALLY EXTENDS TO given SCDW, You will receive the benefit of CDW and Your liability without notice and may vary with rate and vehicle options.
CHARGE FOR LDW AT MOST GOLD LOCATIONS IN THE UNITED RENTAL MOTOR VEHICLES PURSUANT TO R.S. 22:1406(F). EVEN IF for the excess in relation to CDW will be eliminated (although You
STATES OR CANADA IS US$26.99 OR CAN$30.95, RESPECTIVELY, YOU ARE NOT A LOUISIANAINSURED DRIVER, THE PURCHASE OF will remain liable for the excess in relation to TP). THE BENEFITS
FOR EACH FULL OR PARTIAL RENTAL DAY. HOWEVER, A SPECIAL, LOSS DAMAGE WAIVER IS NOT MANDATORY AND MAY BE OF TP, CDW, SCDW AND SC MAY BE VOIDED WITH RESPECT TO A
HIGHER LDW CHARGE OF US$34.99 OR CAN$34.95 FOR EACH WAIVED. THIS CONTRACT OFFERS, FOR AN ADDITIONAL PARTICULAR RENTAL IF YOU USE THE CAR AS PROHIBITED
FULL OR PARTIAL RENTAL DAY IS APPLICABLE TO CERTAIN CHARGE, A LOSS DAMAGE WAIVER TO COVER YOUR UNDER PARAGRAPHS 2 AND 5 OF THE EMEA TERMS OR IF THE
The Platinum Card.
CAM4782 10/06 Department 68, Brighton, BN88 1AH, UK.
HERTZ #1 CLUB GOLD® ENROLMENT AGREEMENT You may limit the use or disclosure of personally identifiable data about you by ticking one of the boxes within each of A and B RENTALS IN EUROPE, MIDDLE EAST, AFRICA, AUSTRALIA AND NEW ZEALAND ENROLMENT TERMS
TO ENROL, PLEASE COMPLETE ALL SECTIONS, SIGN AND RETURN THIS AGREEMENT IN THE ENCLOSED ENVELOPE. DO NOT DETACH below.A. I give Hertz permission to send me marketing offers or materials in the course of Hertz’ rental businesses and to disclose PLEASE SELECT THE CLASS OF CAR YOU WISH TO RENT WHEN USING HERTZ #1 CLUB GOLD. DO NOT DETACH, THE ENROLMENT TERMS MUST BE RETURNED WITH THE ENROLMENT FORM.
THE ENROLMENT TERMS. personally identifiable data about me collected in the course of Hertz’ rental businesses to Hertz’ affiliates or licensees for
By signing the Enrolment Form, You acknowledge and agree 3. When You rent a private passenger motor vehicle (excluding
PERSONAL INFORMATION FOR ALL RENTALS THE CAR CLASS YOU WISH TO DRIVE: (tick one) that: trucks and vans), including all such vehicle’s parts (a “Car”), using
1. You have received, read, understand and agree to the terms, Gold, the Hertz company or licensee providing the Car is called
1. Postal Mail Only 2. E-Mail Only 3. Both Postal and E-Mail conditions, disclosures and notices on this Hertz #1 Club Gold the “Renting Company”. Your Enrolment, together with the terms
HERTZ #1 CLUB NUMBER HERTZ CDP NUMBER Manual Automatic Economy Compact Intermediate Standard
(IF APPLICABLE) (IF APPLICABLE) 4. I direct Hertz not to send me any marketing offers or materials in the course of Hertz’ rental businesses and not to disclose Enrolment Agreement. This Enrolment Agreement pertains to and conditions in the aforementioned booklet(s) which are
personally identifiable data about me collected in the course of Hertz’ rental businesses to Hertz’ affiliates or licensees for Full-Size Premium Hertz #1 Club Gold (“Gold”) rentals wherever Gold service is applicable to rentals in the country in which the rental
ACCOUNT NAME OF CDP NUMBER marketing purposes. available; as of 1 January 2006, Gold service is available in the commences (as modified by Hertz from time to time in the
(IF APPLICABLE) In EMEA, automatic cars are subject to availability.
United States, Canada, much of Europe, Israel, South Africa, manner prescribed therein), the Rental Record or Rental
NAME, ADDRESS & TELEPHONE INFORMATION If you do not tick any of the boxes above, you will be deemed to have selected item 4. If you select item 4, you may not Australia and New Zealand. One or more booklets setting forth Agreement which You receive at the commencement of the rental
receive offers and services that may be of interest to you. These include discount and free rental day vouchers that Hertz would HERTZ NEVERLOST® NAVIGATIONAL SYSTEM: the terms and conditions applicable to Gold rentals in all (excluding, in the case of a rental agreement, the preprinted
Title: Mr. Mrs. Miss. Ms. Dr. Other otherwise provide to you under the Hertz #1 Club Gold Five Star¨ and Hertz #1 Club Gold President’s Circle¨ programmes, plus countries in which Gold service is available, and for which You general terms and conditions section thereof, if any), and any
other similar loyalty programmes. Tick here if you prefer a vehicle equipped with a Hertz NeverLost Navigation System (where enrol to rent withGold, will be sent to You following acceptance other documents which You are required to sign at the
Surname: First Name: Middle Initial: applicable). An additional charge will apply. Hertz NeverLost is only available in certain ENEA by us of this Enrolment Agreement; however, if we have already commencement of the rental, will constitute the agreement
B. 1. I give Hertz permission to disclose personally identifiable data about me collected in the course of Hertz’ rental countries/locations. sent You a current booklet covering rentals in certain countries, between You and the Renting Company governing the rental. The
HOME INFORMATION businesses to companies that are not Hertz’ affiliates or licensees for marketing purposes. we may not send You a second copy of that booklet. You promise identity of the Renting Company for each rental will appear on
2. I direct Hertz not to disclose personally identifiable data about me collected in the course of Hertz’ rental businesses to AUSTRALIA/NEW ZEALAND to read the booklet(s) carefully. Your making a rental using Gold the Rental Record/Agreement for that rental. The Enrolling
Home Address: will constitute Your acceptance of all terms and conditions Company and the Renting Company are referred to collectively as
companies that are not Hertz ’affiliates or licensees for marketing purposes.
THE CAR CLASS YOU WISH TO DRIVE: (tick one) specified in the booklet(s), including the General Provisions “Hertz”, “we” or “us”.
Town/City: Postcode: Applicable To All Hertz #1 Club Gold Rentals (the “General 4. The availability of Gold service at specific locations may change.
CARD INFORMATION Provisions”), the Terms And Conditions Applicable To Rentals In Reservations made not less than two (2) hours in advance of
Economy Compact Intermediate Full-Size Luxury (Australia only)
Country: Telephone: Please provide your Platinum Card details below. The billing address for your card must be one of the adresses you list The United States And Canada (the “North American Terms”), the proposed rental commencement are required for Gold rentals.
See paragraph #18 of the Enrolment Terms. Terms And Conditions Applicable To Rentals In Europe, Middle 5. You represent that the information which You have provided on
COMPANY INFORMATION East and Africa (the “EMEA Terms”), the Terms And Conditions this Enrolment Agreement is true, correct and complete. Your
Card Number: 3 7 Expiry Date: d d m m y y y y
In Australia, most cars are automatic. In New Zealand, Intermediate and Full-Size are automatic.
Applicable To Rentals In Australia, the Terms And Conditions selections in the Enrolment of Optional Services (where available)
Company Name: Applicable To Rentals In New Zealand and the Company/Travel and car class (subject to vehicle availability at the time You make
HERTZ #1 CLUB GOLD® RENTALS IN THE U.S. AND CANADA SIGNATURE: MUST SIGN TO ENROL Agent Accounts Supplementary Terms and Conditions. If, after the reservation) will apply to all rentals which You make using
Company Address: BE CERTAIN TO COMPLETELY FILL OUT EACH SECTION BEFORE MAILING. I ACKNOWLEDGE THAT I HAVE
reading the booklet(s), You wish to change any of the selections Gold; provided, that for a specific rental You may change Your
PLEASE SELECT THE CLASS OF CAR YOU WISH TO RENT WHEN USING HERTZ #1 CLUB GOLD. on this Enrolment Form, You may do so in the manner described in selections of Optional Services and You may select a different car
RECEIVED, READ AND UNDERSTAND THE TERMS, DISCLOSURES AND NOTICES ON THE ENROLMENT TERMS,
Town/City: Postcode: THE CAR CLASS YOU WISH TO DRIVE: (tick one)
section 2, below. class in the manner provided in the Terms and Conditions
INCLUDING BUT NOT LIMITED TO THE NOTICES IN SECTIONS 9 THROUGH 18 THEREOF. 2. The submission of this Enrolment Agreement represents an offer applicable to the country in which the rental commences.
Country: Telephone: I understand that Hertz #1 Club Gold rentals (including optional services which I select) will be governed by the by You. The Hertz company the name of which appears on the Notice: For rentals at some locations, certain optional services
Compact, 4-Door Mid-Size Sporty, 2-Door Full-Size, 4-Door Premium Luxury Hertz #1 Club Gold Rental Terms and Conditions as well as the Enrolment Terms and agree that my first front of this Enrolment Form (the “Enrolling Company”) reserves may not be available on the basis of an advance request in Your
Fax: Preferred E-Mail Address: Hertz #1 Club Gold rental will constitute my acceptance of the Hertz #1 Club Gold Terms and Conditions. the right not to accept this Enrolment Agreement without being Enrolment to obtain them. In such circumstances, the Rental
SUV, 4-Wheel Drive required to provide any explanation. Acceptance of this Enrolment Record/Agreement will indicate that You have declined to obtain
DRIVING INFORMATION Preferred Mailing Address: (Please tick one only) Home Company Agreement by the Enrolling Company will be given by written such optional services, even though Your Enrolment agreement
HERTZ NEVERLOST® NAVIGATIONAL SYSTEM: notice. You may from time to time update the information and specifies that You wish to obtain them. You may be able to
Date of Birth: (Must be at least 21 years) d d m m y y y y Country of Birth:
If you have selected a Mid-Size or larger vehicle, you may tick here if you prefer a vehicle equipped with a SIGNATURE X DATE change the selections on this form by written notice to the purchase such services at the commencement of the rental even
(Must sign to be eligible.) Enrolling Company or through Hertz’s Internet website, when they are not available
Driver’s Licence Number: Hertz NeverLost Navigational System. An additional daily charge applies. If you select NeverLost you will receive http://www.hertz-europe.com. This Enrolment Agreement, as in advance.
Please read the following terms, conditions, disclosures and notices (the “Enrolment Terms”) before signing the agreement. modified to reflect any changes which You may make to Your 6. You authorise Hertz to process all charges in any way incurred
this service in the U.S. and Canada (where available).
Issuing Authority (Country) elections on this form, is referred to as Your “Enrolment” for the by You in connection with a Gold rental against the first credit
SIRIUS SATELLITE RADIO: countries covered hereby. If accepted by Hertz, this Enrolment card listed on the front of this Enrolment Agreement (as such list
Driver’s Licence Issue Date: d d m m y y y y Expiry Date: d d m m y y y y Agreement will supersede any Enrolment Agreement submitted by may be modified from time to time in the manner described in
Tick here if you prefer a vehicle equipped with SIRIUS (subject to availability). An additional change applies. You which was accepted by Hertz prior to acceptance of this section 2, opposite) which has available credit or funds, as the case
CUSTOMER’S CHOICE TO LIMIT USE OF DATA Enrolment Agreement, with respect to those countries. The supply may be, and which is accepted to qualify for rental at the rental
of the information requested on this Enrolment Form is voluntary. location.
We are The Hertz Corporation and its subsidiaries (“Hertz”). To provide you with the opportunity to participate in offers and NON-SMOKING/SMOKING OPTION FOR U.S. AND CANADA RENTALS: (tick one) However, Hertz reserves the right to reject Your application for 7. You promise to notify the Enrolling Company at once if Your
send you mailings and disclose personally identifiable data about you to Hertz’ affiliated companies, Hertz’ independent licensees membership if You do not supply all of the information requested Gold Card, Hertz Charge Card, #1 Club number or any of the credit
Non-Smoking Car Smoking Car No Preference. or for any other reason. See the General Provisions for information cards listed in Your Enrolment are lost, stolen or invalidated, or if
Rental Customers, please write to Director, Privacy Services, Hertz Europe Financial Centre, Swords, Co. Dublin, Republic of Ireland In the U.S. and Canada most cars are automatic. regarding our use of personal data. You suspect that any of them are being used without Your
or go to www.hertz-europe.com. Hertz Europe Ltd, Hertz, 11 Vine Street, Uxbridge, Middlesex, UB8 1QE, UK.
S61395PX01 Z04 PLTICC01 2234/EZ/MK/OUT/EA 0306