Rental Car Form 

Contact Information

* First Name: * Last Name:
* Email: * Primary Phone Phone Number:
Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:
Survey Questions
How long do you plan on renting your vehicle?
A day or two Weekly (7 Days) Weekend (Pick-up the car Friday Night Return within 48 Hours of pick-up)
Did you find the vehicle you were looking for?
Yes No
Was the information on our site useful?
Yes No
Would you recommend this dealer to a friend?
Yes No
Would you use this site to purchase a vehicle?
Yes No
When do you plan to purchase your next vehicle?
Are you shopping for a new or a used vehicle?
New Used Either
How did you locate this site?
Search Engine Manufacturer Site Advertisment Other (please specify)
* These fields are required

Home page | Mike Raisor Automotive in Lafayette, IN | New
and used cars, vans, wagons, trucks, and SUVs.

Mike Raisor Automotive Group
PO Box 5028
Lafayette, IN 47903
Toll Free: 765-448-4582
Site Map
Mike Raisor Pontiac Isuzu Imports
2912 E. Main Street
Lafayette, IN 47904
Phone : (800) 960-1511
Fax: (765) 448-1796
email: websales@raisor.com
Mike Raisor Chrysler Dodge & Jeep
1985 W State Rd 28
Frankfort, IN 46041
Phone: (765) 654-8092
Mike Raisor Ford
2051 Sagamore Parkway
Lafayette, IN 47905
Phone: (765) 447-9444
Fax: (765) 447-3631
email: websales@raisorford.com