Your Name
ENTER TODAY'S RENTAL & EXCHANGE ACTIVITY DO NOT REPORT RETURN ACTIVITY ON THIS FORM. IT WILL NOT BE ACCEPTED. There are 12 spaces provided below. If you are reporting more than 12 rentals or exchanges today, please submit additional reports.
ENTER TRACKING INFORMATION Associate the rentals being reported today with a traceable mailing envelope provided by VIR. Enter the envelope's tracking number below. This is a required field. If you do not have a traceable mailer available (exhausted your supply), type the word "NEED" in this box to let us know.