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 Kawasaki Teryx KRX 1000

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. Also no half days offered Wednesday to Sunday Thanksgiving week and Christmas Eve to New Years Day.

Half Day 1pm-5pm  No half days offered Saturdays or Sundays unless same day reservation Also no half days offered Wednesday to Sunday Thanksgiving week and Christmas Eve to New Years Day.

Guided Tour 3-4hrs

Guided Tour Time:

Any special notes/request type them here:

 

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

We charge a 4% convenience fee for using a credit card for the rental. To avoid this fee check the paying cash box. The security deposit must be put on a credit card.

*Credit Card #:

*CC Experation Month/Year: /

*CC Cvv Code:

Paying Cash

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: 11/27/2020
 
Renter Name: 
 
Signature:
 
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