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: Please double check it matches what's on file with your credit card company

*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 $350/day

2-seat Polaris RZR XP1000  $350/day

2-seat Polaris RZR XP1000  $350/day

2-seat Polaris RZR XP1000  $350/day

2-seat Kawasaki Teryx KRX 1000  $400/day

2-seat Can Am Maverick X3 Turbo  $450/day

4-seat Polaris RZR XP1000  $400/day

4-seat Polaris RZR XP1000  $400/day

4-seat Polaris RZR XP1000  $400/day

4-seat Polaris RZR XP1000  $400/day

4-seat Polaris RZR XPTurbo  $450/day

Polaris Ranger Crew 900  $400/day

*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 Friday-Sunday

Half Day 1pm-5pm  No half days offered Friday-Sunday

Guided Tour 3-4hrs Tours are not offered Saturday's or Sunday's and must have at least 2 machines. 

Guided Tour Time: Tours are not offered Saturday's or Sunday's and must have at least 2 machines . 

Any special notes/request type them here:

*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

1. RENTER AGREES TO THE FOLLOWING CONDITIONS:
  a.     I understand the above credit card will be used for both the rental (unless I select paying cash) and the 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 and will bring my drivers license and credit card 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 1-2 weeks 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/

CLICK HERE To accepts all terms and conditions 		  

 

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. 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: 1/27/2021
 
Renter Name: 
 
Signature:
 
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