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:

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