Invoice & Payment History

Membership Application Fee
Invoice Date Cost Date of Payment
-- -- --
Tesla Vehicle Purchase Share
Invoice Date Cost Date of Payment
-- -- --
Charging Station Wall Connector
Invoice Date Cost Date of Payment
-- -- --
Charging Station Installation
Invoice Date Cost Date of Payment
-- -- --
Driverless Software Share
Invoice Date Cost Date of Payment
-- -- --
Monthly Club Membership
Invoice Date Cost Date of Payment
-- -- --
Repair / Service Required
Invoice Date Cost Date of Payment
-- -- --
Cleaning / Service Required
Invoice Date Cost Date of Payment
-- -- --
Damage Assessment Required
Invoice Date Cost Date of Payment
-- -- --
Late Fee / Charging Station
Invoice Date Cost Date of Payment
-- -- --
Club Membership Renewal
Invoice Date Cost Date of Payment
-- -- --
Tesla Vehicle Purchase Share
Invoice Date Cost Date of Payment
-- -- --
Driverless Subscription Renewal
Invoice Date Cost Date of Payment
-- -- --
Monthly Club Membership
Invoice Date Cost Date of Payment
-- -- --

Member Usage History

Date Beginning Mileage Ending Mileage Total Miles

Member Comments and Complaints

Date Comment Complaint

Member Calls for Assistance(Please Describe Specific Reason)

Date Specific Request Response

Member Special Assessments (Please Describe Specific Reason)

Date Cleaning Required Damage Observed $ Amount

Note: If you were the last member who used vehicle you will be assessed the actual cost of the cleaning or damage repair.

Member Late Fee Assessments

Date Expected Arrival Time Actual Arrival Time Late Fee

Note: The Club Vehicle should arrive at the next member’s address no more than 30 minutes after your reservation end time. You will be assessed a Late Fee of $5 for every 5 minutes late the vehicle is. The next member recharges the vehicle prior to their reservation use.