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 ($350 full-day/$450 24hrs)
11' Inflatable Stand-Up Paddleboard ($30 full-day/$40 24hrs) (only rented with boat not seperate)
11' Inflatable Stand-Up Paddleboard ($30 full-day/$40 24hrs)
SUP Kayak package addon, Kayak seat and paddle ($10/day)
*Starting Date: (Month/Day/Year)
*Ending Date: (Month/Day/Year)
*Rental times, please choose one:
Full-Day Rental Florence, AZ Pickup with Trailer 8AM-6PM Night before pickup 6:00-7PM (Additional $100) Morning after drop-off 6:30-7:30AM (Additional $100)
Full-Day Rental Delivered to Canyon Lake (Additional $150 cash for delivery, not responsible if lake closes before we arrive) 7AM-3PM Full-Day Rental Delivered to Saguaro Lake (Additional $150 cash for delivery, not responsible if lake closes before we arrive) 7AM-3PM
*Credit Card #:
*CC Experation Month/Year: Select...010203040506070809101112/ Select...20172018201920202021202220232024202520262027
*CC Cvv Code:
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.