Secure Rental Reservation Form


Reservation Payment Information:

Reservation Start Date:
Reservation End Date:

Name on Credit Card:
Billing Address:
City:
State:
Zip:
Phone:
Email Address:

Credit Card number:
Expiration date:
CCV number:
Credit Card will hold your reservation (nothing is charged until you receive your equipment).

Special Comments:


Ski Rental Information:

Skier #1 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day
Yes No
*Snowboard
Right foot forward Left foot forward

Skier #2 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day
Yes No
*Snowboard
Right foot forward Left foot forward

Skier #3 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
Rental Package:
Helmet $4.99/day
Yes No
*Snowboard
Right foot forward Left foot forward

Skier #4 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day
Yes No
*Snowboard
Right foot forward Left foot forward

Skier #5 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard
Right foot forward Left foot forward

Skier #6 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard Right foot forward Left foot forward

Skier #7 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard Right foot forward Left foot forward

Skier #8 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard Right foot forward Left foot forward

Skier #9 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard Right foot forward Left foot forward

Skier #10 Full Name:
Age:
Weight: Height: Shoe Size:
Skier classification:
(click here to view classification pdf)
Rental Package:
Helmet $4.99/day Yes No
*Snowboard Right foot forward Left foot forward


*Your card will be charged for a one day rental for each person renting if you cancel within 48 hrs. of reservation.




MAP | LINKS | ABOUT US | CONTACT US

504 Harrison Ave. Leadville, CO 80461 | 866-908-SKIS (7547) | 719-486-2331
info@alpineskiandsport.com

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