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Finger Lakes Scuba~Coral Reef Dive Adventures |
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11 Dill Street Auburn, New York 13021 |
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1-800-764-DIVE(3483)
www.fingerlakesscuba.com |
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Rental Agreement and Release |
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Name: |
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Agency: |
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Cert. # |
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Address: |
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Date Paid: |
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City: |
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Zip: |
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Salesperson: |
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Rental Period: From: |
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Time: |
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Home Phone: |
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To: |
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Time: |
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Work Phone: |
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Late Charge: |
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Drivers License No: |
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Instructor: |
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Credit Card #____________________________ |
Expiration:___________________ |
MC / V / Disc |
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Item |
Quantity |
Size |
1st Day |
Add/Day |
# Days |
Sub-Total |
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Total Due |
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Week long Package* |
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Week Long Rate = $250.00 |
7 |
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Breathing Air System |
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$50.00 |
$25.00 |
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B.C.D. |
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$45.00 |
$22.00 |
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Full Wetsuit |
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$25.00 |
$10.00 |
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Hood |
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$6.00 |
$3.00 |
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Gloves |
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$6.00 |
$3.00 |
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Weight System |
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$8.00 |
$4.00 |
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Cylinder |
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$12.00 |
$12.00 |
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Dry Suit** |
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$150.00 |
$75.00 |
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Undergarments |
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$30.00 |
$15.00 |
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Computer |
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$25.00 |
$12.00 |
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Compass |
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$6.00 |
$3.00 |
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Flag & Float |
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$15.00 |
$5.00 |
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Mask |
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$15.00 |
$5.00 |
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Fins |
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$15.00 |
$5.00 |
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Boots |
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$15.00 |
$5.00 |
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Snorkel |
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$5.00 |
$2.00 |
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Other |
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* Includes B.C.D. and complete Breathing Air System. |
subtotal |
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**Must be Dry Suit Certified |
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Tax (8.00%) |
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I have all the equipment needed to dive safely.
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Total |
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It is hereby agreed that the above equipment is
rented from leaser by the lessee for his/her use only, |
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and will not be loaned, sublet, mortgaged, or in
any other manner be disposed of by the lessee. That |
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the lessee will be responsible for damage to said
equipment by fire, theft, or other cause. That the
leased |
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equipment will be returned to the leaser at the
store where it was leased at the expiration of the
agreed |
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rental period in the same condition as received,
except for the ordinary wear and tear, or make |
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appropriate restitution. That the lessee uses the
equipment entirely at his/her risk. The lessee
shall |
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pay all rental fees due under this agreement
prior to, or at the time of pickup,
and will pay additional |
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fees at the above rates if the equipment is
returned later than agreed upon time.
No refund for
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equipment
unused.
Finger Lakes Scuba~Coral Reef Dive Adventures
shall not be held liable for any |
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accidents arising from the use of said
equipment. |
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Signed (Lessee) |
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Date: |
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Signed (Leaser) |
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Date: |
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Date Returned: |
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Acceptable:_________ |
Unacceptable:_________ |
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PRICES SUBJECT TO CHANGE WITHOUT PRIOR NOTIFICATION! |
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Revised 2/1/10 |
