Full 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): 

RZR XP1000 2-seat ($350 full-day/$250 half-day) How many?

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

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

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

Ranger Crew 900 6-seat ($400 full-day/$300 half-day)

Starting Date: 

Ending Date: 

Full Day 9am-5pm 

Half Day 8am-12pm  (half-day not offered Saturday's or Sunday's)

Half Day 1pm-5pm  (half-day not offered Saturday's or Sunday's)

Guided Tour 8am-12pm (Full-day Price plus $100)

Guided Tour 1pm-5pm (Full-day Price plus $100)

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 $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. No refunds will be given unless by owners discretion.

Shortly after submitting this form 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: 09/23/2017
 
Renter Name: 
 
Signature:
Sign Your Name Below Using Your Computer Mouse (or using your Finger on a Tablet or Phone):
 
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