Salopek Golf Car & Equipment Co., Inc.
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2005 RENTAL RESERVATION REQUEST FORM
Company: _________________________________ Contact: ______________________ Event: ____________________________________ Location: _____________________ Address:________________________________________________________________ Phone Number: _____________________________ Fax Number: __________________ Contact Person On-Site: ______________________ On-Site Phone: _________________
RENTAL DATE INFORMATION Total Number of Days: ___________ Dates: ____________ through ___________
RENTAL EQUIPMENT PREFERENCE Type of Golf Car Quantity Desired Two Passenger Golf Car _______________ Four Passenger Golf Car _______________ Workhorse Golf Car _______________ Six Passenger Golf Car _______________ Other (indicate what type) ______________ If pre-paying by credit card please provide the following: Card Type: Visa or MasterCard (Circle one) Card Number: ________________________ COMMENTS: ___________________________________________________________
Signed: ______________________________ Date: _____________________________ |
