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 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/Postal code:

Country:

*Driverse License #:   

*State Issued:

*Select Rental Machine(s): 

2-seat Polaris RZR XP1000

2-seat Polaris RZR XP1000

2-seat Polaris RZR XP1000

2-seat Polaris RZR XP1000

2-seat Can Am Maverick X3 Turbo

4-seat Polaris RZR XP1000

4-seat Polaris RZR XP1000

4-seat Polaris RZR XP1000

4-seat Polaris RZR XP1000

4-seat Polaris RZR XPTurbo

Polaris Ranger Crew 900

*Starting Date:  (Month/Day/Year)

*Ending Date:  (Month/Day/Year)

*Select Rental Time:

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

 

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

*Credit Card #:

*CC Experation Month/Year: /

*CC Cvv Code:
 

1. RENTER AGREES TO THE FOLLOWING CONDITIONS:
  a.     I understand the above credit card will be used for both 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/day will be secured and the remaining balance will be due on the day of the rental.

  b.     I certify that I am at least 25yrs of age.

  c.     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.

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

 

e.     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: 9/30/2020
 
Renter Name: 
 
Signature:
 
Please wait...