Rental Contact Name* First Last Email* PhonePick Up Date* Date Format: MM slash DD slash YYYY Pick Up Time* : HH MM Time of Day AM PM Pick Up Location*Ducharme Motors (Bonnyville)Cold Lake Ford (Cold Lake)St. Paul Dodge (St. Paul)Custom Pick up Location (Please specify if not included in the above)Drop Off Date*Drop Off Time* : HH MM Time of Day AM PM Drop Off Location*Ducharme Motors (Bonnyville)Cold Lake Ford (Cold Lake)St. Paul Dodge (St. Paul)Custom Drop Off Location (Please specify if not included in the above) I agree to receive periodical offers, newsletter, safety and recall updates from Ducharme Motors Ltd. Consent can be withdrawn at any time.