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| Required Information: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - |
| · | I am responsible for filling vehicle’s fuel tank to the level when vehicle was picked up, and I am eligible for fuel costs reimbursement. | |
| · | I must not return vehicle to the rental company to fill up the tank as fuel is then charged at higher rate. | |
| · | I must reimburse the College for any additional charges such as higher fuel rates than allowed, satellite radio, roadside assistance, etc. | |
| ______________________________________________ | ||
| Today’s Date | ||
| Employee’s Signature | ||
| Printed Name | |
| Title | Division/Dept |
| Home Phone* | Daytime/Cell Phone |
| *Note: Enterprise bases employee accounts on home phone numbers. | |
| **You will receive an email confirmation from Enterprise when rental has been processed. |
| City Park: 4001 S. Carrollton Avenue; (504) 483-1779 | ||
| West Bank: 928½ West Bank Expressway; (504) 366-9400 | ||
| Charity: 1019 Baronne Street; (504) 593-9068 | ||
| Slidell: 56450 Frank J. Pichon Road; (985) 643-0102 | ||
| Covington: 2611 N. Highway 190; (985) 893-0462 | ||
| Other: |
| Driver’s License # | Exp. Date | Birth |