Lease Application

According to our live database of confirmed leases current vehicle availability is:
Car:
Longest lease available today is 30 days
Earliest lease date for unlimited days is 12-10-19

Minivan (2012 or older):
Lease available today for as long as you need it

Minivan (2013 or newer):
Lease available today for as long as you need it

If you do not find something available, you can still submit a lease application. You can be put on a waiting list or we may also be able to shift things around to accomodate you if something changes.

Please read the Vehicle Lease Information. A completed application and the $50 application fee is required to be able to hold a vehicle for you. Upon approval of your application we will process the non-refundable application fee provided, whether in check or credit card format.

Please fill out and submit the following lease application in order to get started reserving a vehicle.

Note: Please print a copy of this form for your records prior to submitting it.

* required information - if it truly doesn't apply enter None or N/A

Vehicle Pick up and Drop off

* I acknowledge that the vehicle must be picked up and dropped off in Longview, Texas. (TECH staff will pick up or drop off in Longview, TX at the county airport (airport code GGG), Amtrak or Greyhound stations, or Hertz, Enterprise, or Avis rental car locations.)

Field Information

* First Name:

* Last Name:

*Select a Ministry Description:

* People Focus:

*Field Country:

Field E-mail:

Home Information

*Home Address:

Address line 2:

*Home City:

*Home State/Province/Country:

*Home Postal Code:

*Home Telephone:

Home E-mail:

Mission Information

*Mission Name:

*Mission Address:

Address:

*Mission City:

*Mission State/Province/Country:

*Mission Postal Code:

*Mission Telephone:

Home Church Information

*Church Name:

*Church City, State, ZIP:

*Church Denomination:

*Church Telephone:

Information on Vehicle Needs

*Date arriving in US:

*Vehicle pickup date (approx): / /

*Vehicle return date (approx): / /

*Will this vehicle be your only source of transportation:

Yes
No

*Type of vehicle desired:

Please note: You cannot pickup a vehicle until we have a copy of your proof of insurance as described in Vehicle Lease Information.

Information on Principal Driver

*Driver's name:

*Drivers license number and state:

*Date of birth:

*Number of years licensed in the U.S.:

*Number of years driving:

Information on Secondary Driver

Driver's name:

Drivers license number and state:

Date of birth:

Number of years licensed in the U.S.:

Number of years driving:

Payment Information

*Payment Type:

Note: We need to receive the $50 application fee in order to reserve the vehicle for you. As we respond to you via e-mail or phone please get this to us as soon as possible.

Eligibility Form

Missionary TECH Team must have an eligibility form filled out for your ministry if we have not worked with it in the past. We do not need one for each missionary, just one per organization.

Verification code:

After clicking the "submit" button, a page will be displayed that indicates that your information has been sent. TECH will contact you shortly thereafter.