Basalt Bike & Ski
SKI AND BIKE RENTALS, SALES & REPAIR
basalt, colorado
132 midland avenue
basalt, co 81621
970 927 3460

Ski Rental Reservation Form



*First Name: *Last Name:
Address: City:
State: Zip Code:
Country: *Pick Up Location
*E-mail: *Phone:
Pickup Date: Return Date:
 
Renter One Renter Two Renter Three Renter Four Renter Five
 

 PRIMARY RENTER:
*Renter Name:
Weight:
Height:
Age:
Ability (I,II,III):
Rental Package
Ski Length
Shoe Size
 SECOND RENTER:
*2nd Renter Name:
Weight:
Height:
Age:
Ability (I,II,III):
Rental Package:
Ski Length:
Shoe Size
 THIRD RENTER:
*3rd Renter Name:
Weight:
Height:
Age:
Ability (I,II,III):
Rental Package:
Ski Length:
Shoe Size
 FOURTH RENTER:
*4th Renter Name:
Weight:
Height:
Age:
Ability (I,II,III):
Rental Package:
Ski Length:
Shoe Size
 FIFTH RENTER:
*5th Renter Name:
Weight:
Height:
Age:
Ability (I,II,III):
Rental Package:
Ski Length:
Shoe Size

Comments, Questions & Requests:
* Required Fields
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