Zipcar = over 80 miles away in the opposite direction from my usual direction. But yes they have them. The closest rental place with pickups is 50 miles away in the opposite direction. Last time I rented a truck it was a huge monster (no midsized at all) when my truck was being repaired from a wreck, and they got upset when I scratched the bed.
, and I wasn't allowed to tow which is a large portion of that last 1% such as towing a friends broken car 75 miles in the middle of the night.
My area is pretty rural.