| |
Finger Lakes Scuba~Aqua-Lung Repair Center |
|
|
| |
11 Dill Street Auburn, New York 13021 |
|
|
|
| |
|
1-800-764-DIVE(3483)
www.fingerlakesscuba.com |
|
|
|
| |
Rental Agreement and Release |
|
|
|
|
Name: |
|
|
|
Agency: |
|
Cert. # |
|
|
|
Address: |
|
|
|
Date Paid: |
|
|
|
|
|
City: |
ST: |
Zip: |
|
Salesperson: |
|
|
|
|
|
|
|
|
Rental Period: From: |
|
Time: |
|
Home Phone: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
To: |
|
Time: |
|
Work Phone: |
|
|
|
Late Charge: |
|
|
|
|
Drivers License No: |
|
|
|
Instructor: |
|
|
|
|
|
Credit Card #____________________________ |
Expiration:___________________ |
MC / V / Disc |
|
|
|
|
|
|
|
|
|
|
|
Item |
Quantity |
Size |
1st Day |
Add/Day |
# Days |
Sub-Total |
|
Total Due |
|
Week long Package* |
|
|
Week Long Rate = $250.00 |
7 |
|
|
|
|
Breathing Air System |
|
|
$50.00 |
$25.00 |
|
|
|
|
|
B.C.D. |
|
|
$45.00 |
$22.00 |
|
|
|
|
|
Full Wetsuit |
|
|
$25.00 |
$10.00 |
|
|
|
|
|
Hood |
|
|
$6.00 |
$3.00 |
|
|
|
|
|
Gloves |
|
|
$6.00 |
$3.00 |
|
|
|
|
|
Weight System |
|
|
$8.00 |
$4.00 |
|
|
|
|
|
Cylinder |
|
|
$12.00 |
$12.00 |
|
|
|
|
|
Dry Suit** |
|
|
$150.00 |
$75.00 |
|
|
|
|
|
Undergarments |
|
|
$30.00 |
$15.00 |
|
|
|
|
|
Computer |
|
|
$25.00 |
$12.00 |
|
|
|
|
|
Compass |
|
|
$6.00 |
$3.00 |
|
|
|
|
|
Flag & Float |
|
|
$10.00 |
$5.00 |
|
|
|
|
|
Mask |
|
|
$15.00 |
$5.00 |
|
|
|
|
|
Fins |
|
|
$15.00 |
$5.00 |
|
|
|
|
|
Boots |
|
|
$15.00 |
$5.00 |
|
|
|
|
|
Snorkel |
|
|
$5.00 |
$2.00 |
|
|
|
|
|
Other |
|
|
|
|
|
|
|
|
|
* Includes B.C.D. and complete Breathing Air System. |
subtotal |
|
|
|
|
**Must be Dry Suit Certified |
|
|
Tax (8.00%) |
|
|
|
|
I have all the equipment needed to dive safely.
______________ |
Total |
|
|
|
|
|
|
|
|
|
|
|
|
|
It is hereby agreed that the above equipment is
rented from lessor by the lessee for his/her use only, |
|
and will not be loaned, sublet, mortgaged, or in
any other manner be disposed of by the lessee. That |
|
the lessee will be responsible for damage to said
equipment by fire, theft, or other cause. That the
leased |
|
equipment will be returned to the lessor at the
store where it was leased at the expiration of the
agreed |
|
rental period in the same condition as received,
except for the ordinary wear and tear, or make |
|
appropriate restitution. That the lessee uses the
equipment entirely at his/her risk. The lessee
shall |
|
pay all rental fees due under this agreement
prior to, or at the time of pickup,
and will pay additional |
|
fees at the above rates if the equipment is
returned later than agreed upon time.
No refund for
|
|
|
