This form MUST be filled out and e-signed by the credit card holder. The card holder on this agreement MUST be present with their credit card and drivers license upon pickup of the machine(s).

(*) Required information

*First and Last Name:

Cell Phone:

*Home Phone:

*Email:

*Billing Address:

*Billing City:

*Billing State: Leave blank for outside US

*Billing Zip:

Country:

*Driverse License #:   State Issued:

*Rental Machine(s): 

2-seat Polaris RZR XP1000 ($350 full-day/$250 half-day)

2-seat Polaris RZR XP1000 ($350 full-day/$250 half-day)

2-seat Polaris RZR XP1000 ($350 full-day/$250 half-day)

2-seat Polaris RZR XP1000 ($350 full-day/$250 half-day)

2-seat Polaris RZR XP1000 ($350 full-day/$250 half-day)

2-seat Can Am Maverick X3 Turbo ($450 full-day/$350 half-day)

2-seat Can Am Maverick X3 Turbo ($450 full-day/$350 half-day)

4-seat Polaris RZR XP1000 ($400 full-day/$300 half-day)

4-seat Polaris RZR XP1000 ($400 full-day/$300 half-day)

4-seat Polaris RZR XP1000 ($400 full-day/$300 half-day)

4-seat Polaris RZR XP1000 ($400 full-day/$300 half-day)

4-seat Polaris RZR XPTurbo ($450 full-day/$350 half-day)

4-seat Polaris RZR XPTurbo ($450 full-day/$350 half-day)

4-seat Polaris Ranger Crew 900 ($400 full-day/$300 half-day)

*Starting Date:  (Month/Day/Year)

*Ending Date:  (Month/Day/Year)

Full Day 9am-5pm 

Half Day 8am-12pm  No half days offered Saturdays or Sundays unless same day reservation

Half Day 1pm-5pm  No half days offered Saturdays or Sundays unless same day reservation

Scenic/Adventure Tour 3-4hrs   Start time (Full-day Price) must have 3 or more machines for a guided tour

 

How did you hear about us? 
   Google  Hotel Flyer  Referred By:  Other (specify): 

*Credit Card #:

*CC Experation Month/Year: /

*CC Cvv Code:

The above credit card will be used for the rental and security deposit. The full rental amount will be charged right away unless your reservation is longer than 1 week away then only $100 per machine/day will be secured and the remaining balance will be due on the day of the rental.

No refunds will be given within 14 calendar days of the rental unless by owners discretion. If the owner decides to issue a refund 10% will be deducted to pay for processing fees.

AZ Rentals does not offer or provide any insurance. You may check with your current provider to see if they will extend a binder.

The $2500 security deposit per vehicle will be ran as an authorizational hold on the day of the rental and will show pending on your card for 1 week as long as no damage is present upon return of the rented vehicle. Guided tours have a $1000 security deposit per vehicle.

The Coke Ovens are closed you will be charged $100 each vehicle for tresspassing https://ajnews.com/the-coke-ovens-of-the-gila-river/

Within an hour or two after submitting this form within normal business hours 9am-5pm 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.

Date: 1/20/2020
 
Renter Name: 
 
Signature:
 
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