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:
*Billing State: Select...
WY Leave blank for outside US
*Billing Zip/Postal code:
*Driverse License #:
*Select Rental Machine(s):
2-seat Polaris RZR XP1000
2-seat Can Am Maverick X3 Turbo
4-seat Polaris RZR XP1000
4-seat Polaris RZR XPTurbo
*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
*Credit Card #:
*CC Experation Month/Year:
*CC Cvv Code:
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.