This form MUST be filled out and e-signed by the credit card holder 25yrs or older. The card holder on this agreement MUST be present with their credit card and drivers license upon pickup of the watercraft(s).
(*) Required information
*First and Last Name:
Cell Phone:
*Home Phone:
*Email:
*Billing Address:
*Billing City:
*Billing State: Select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Leave blank for outside US
*Billing Zip/postal code:
*Home Address (If different than above, no P.O. Boxes):
*Home City:
*Home State: Select... AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
*Home Zip/postal code:
Country:
*Driverse License #: State Issued:
*Rental Machine(s):
10-seat Suntracker SF22 Pontoon Boat ($400 full-day)~customer-field-56~
*Starting Date: (Month/Day/Year)
*Ending Date: (Month/Day/Year)
*Rental times, please choose one:
Full-Day Rental Florence, AZ Pickup with Trailer ~customer-field-61~8AM-6PM
Night before pick up Select...No Thanks4pm night before pickup ($100 add on per vehicle)8am morning after return ($100 add on per vehicle)Both night before pickup and morning after drop-off ($200 add on per vehicle)6:30-7:30PM (Additional $100)
Morning after drop-off 6:30-7:30AM (Additional $100)
*Credit Card #:
*CC Experation Month/Year: Select...010203040506070809101112/ Select...20242025202620272028202920302031
*CC Cvv Code:
A 4% convenience fee will be charged in addition to the tax for using a credit card for the rental. To avoid the additional 4% fee, check the paying cash box. The security deposit must still be put on a credit card.
Paying Cash ~customer-field-122~
Within an hour or two after submitting this form within normal business hours 8am-6pm a rental agreement will be sent to the email listed above to e-sign. If you do not see the email make sure you check your spam/junk mail.
By signing this form I agree to be charged for the above selected date, time, and machine(s) to be rented.