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Equipment Rental Reservation Form
Print this page, then click here to go to
and print Rental Policy
Please print of this form and the Rental Policy.
Fill it out completely with info from the Rental
Equipment page. When done ...
Mail it to us at Percy Rentals,
269
Week Hill Road,
Stowe, VT 05672 or
Fax it to us at (802) 253-8520.
You will receive a confirmation from us, as soon as we have processed your
reservation request.
Name of Business: ____________________________________________________
Address: _______________________ City: ________ State:
_______ Zip: _______
Phone: (___) ____________ Contact: __________________________
| Item Number: |
__________________ |
| Item Description: |
_____________________________________ |
| Rental Start Date: |
___________ |
Pickup Time: |
__________ |
| Rental Return Date: |
___________ |
Length of Rental: |
__________ |
| Item Number: |
__________________ |
| Item Description: |
_____________________________________ |
| Rental Start Date: |
___________ |
Pickup Time: |
__________ |
| Rental Return Date: |
___________ |
Length of Rental: |
__________ |
| Item Number: |
__________________ |
| Item Description: |
_____________________________________ |
| Rental Start Date: |
___________ |
Pickup Time: |
__________ |
| Rental Return Date: |
___________ |
Length of Rental: |
__________ |
Rentals can be charged to pre-existing accounts (click here for an application)
or paid by credit card. Please fill in the appropriate information below:
Account #: ________________ Account Name:
_____________________________
Credit Card Type: __ VISA __MasterCard
Credit Card #: ________________________ Exp Date: ___________
Cancellation Policy:
When a reservation is confirmation, a deposit equal to the estimated amount of
the rental will be charged to your account or credit card number. In the case of
cancellation: If more than 48 hours before rental time, a full refund of deposit
will be credited. More than 12 hours before rental time, a 50% refund of deposit
will be credited. Less than 12 hours before rental time, no refund of deposit
will be credited.
I have read and understand this Cancellation Policy and
agree to abide by its terms. Please process my reservation.
Signature:
___________________________ Date:
______________________
Full Name (please print): ___________________________
Be sure to attach a printed and signed Rental
Policy.
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