First Name

Last Name

Address

Address

City

State

Zip

Country

Home Phone

Work Phone

Fax Phone

Email Address

Enter Email Again

Day of Rental

Year of Rental

Month of Rental

NOTE:  If you have special instructions, or we don't have a field to accommodate your request, you may use the comment section.  If you require more than one boat, please specify the second in the comment section

Number of Days

First Choice Boat Type

If first choice is not available, second choice:

Yes

No

Do you need a tow vehicle?

Number of people in your party total:

Card

Number

Expiration Date

Name on Card (example Joe Brown, Jr)

 (3 digits  on back of card

Security Code)

Questions, comments or request information.  Also, use this space to indicate a second boat or multiple rentals:

Renters taking boats past mile 57 on the lake do so at their own risk and will be responsible for towing.

We are located 10 miles north of Wahweap Marina. Our boats are on trailers and must be towed down to the marina.

We do not guarantee our stereos so please bring your own.

We do not offer insurance. The renter will be responsible for any and all damages.

You must have boating experience in order to rent from us.