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: Make sure this matches the address on file with your credit card company to avoid any issues.

*Billing City:

*Billing State: Leave blank for outside US

*Billing Zip/Postal code:

Country:

*Driverse License #:   

*State Issued:

*Credit Card #: Please double check for typo's

*CC Experation Month/Year: /

*CC Cvv Code:

A 4% convenience fee will be charged in addition to the tax for using a credit card for the rental. To avoid the additional 4% fee, check the paying cash box. The security deposit must still be put on a credit card.

Paying Cash

*Starting Date:  (Month/Day/Year)

*Ending Date:  (Month/Day/Year)

Rentals Times:

Full-day 9AM-5PM Any day of the week

Half-day 8AM-12PM  ($100 discount) Offered non-holidays Monday-Friday only

Half-Day 1PM-5PM  ($100 discount) Offered non-holidays Monday-Friday only

*Select Rental Machine(s): (Price does not include 9.2% tax and 4% convenience fee) (Does include Gas 1 tank of gas)

2-seat Kawasaki KRX 1000 $450/day

2-seat Kawasaki KRX 1000 $450/day

2-seat Kawasaki KRX 1000 $450/day

2-seat Can-Am Commander 1000 $450/day

2-seat Polaris RZR XP1000 $450/day

2-seat Polaris RZR XP1000 $450/day

2-seat Polaris RZR XP1000 $450/day

2-seat Polaris RZR XP1000 $450/day

4-seat Kawasaki KRX 1000 $550/day

4-seat Kawasaki KRX 1000 $550/day

4-seat Kawasaki KRX 1000 $550/day

4-seat Can Am Commander 1000  $550/day

4-seat Can Am Commander 1000  $550/day

4-seat Can Am Maverick Sport 1000  $550/day

4-seat Polaris RZR XP1000  $550/day

4-seat Polaris RZR XP1000  $550/day

4-seat Polaris RZR XP1000  $550/day

4-seat Polaris RZR XP1000  $550/day

Polaris Ranger Crew 900  $550/day (Only available for 2 adults and children)

Any special notes/request type them here:

1. RENTER AGREES TO THE FOLLOWING CONDITIONS:
a.     I understand the above credit card will be used for both the security deposit and rental if not paying cash. All money will be due on the day of the rental.

b.     I certify that I am at least 25yrs of age and I know I MUST BRING MY DRIVERS LICENSE AND CREDIT CARD WITH THE MATCHING NAME WHEN PICKING UP THE RENTAL.

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.

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.     Cancellations less than 14 calendar days holidays do not qualify for a refund unless we can find a replacement and 10% will be deducted from the refund for processing fees.

f.     The Coke Ovens are closed you will be charged $120 each vehicle for tresspassing https://ajnews.com/the-coke-ovens-of-the-gila-river/

g.       These machines are not highway legal if you drive on the highway there is a $5/mile fee. If you plan to go down Cottonwood Canyon Rd. there is a dirt trail on the west side of the highway or the machines may be trailered if you provide a trailer.

CLICK HERE To accepts all terms and conditions 

Within a few hours 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. The email should be coming from amy@rentalphoenixaz.com

Please confirm all the above information is correct especially the billing address, if the billing address is not correct you may see 2 charges for the security deposit.

By signing this form I agree to be charged for the above selected date, time, and machine(s) to be rented.

Date: 11/29/2022
 
Renter Name: 
 
Signature:
 
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