Beaumaris Marina Boat Rentals
2010 Reservation Form
To reserve your boat, please fill in this form (use ‘Tab’ to move through the form) and hit ‘Enter’ or click the ‘Submit’ Button at the bottom to send us your information. We will contact you by e-mail once processed – Thank You
FULL NAME: ie. Mr. Mrs. Ms Dr. etc…		*must be filled in
E-MAIL ADDRESS:		*must be filled in
Are You a Repeat Customer?	Yes No	Repeat Customers need only enter information that has changed.
Address#1
Address#2
City
Province/State
Country
Postal Code/Zip Code
Home Phone#
Work Phone#
Vacation Address
Vacation Phone#
Cell Phone#
Fax# (if requesting confirmation by Fax)
PLEASE RESERVE THIS BOAT FOR ME:		PLEASE PICK YOUR DESIRED BOAT FROM THIS LIST 15' WHALER STYLE - 40HP - 4 STROKE O/B ($300/week Res Dep) 17' WHALER STYLE - 50HP - 4 STROKE O/B ($300/week Res Dep) 20' PONTOON BOAT - 50HP YAMAHA O/B ($400/week Res Dep) 17' BOWRIDER RUNABOUT - 80HP YAMAHA O/B ($400/week Res Dep) 17' BOWRIDER RUNABOUT - 100HP YAMAHA O/B ($400/week Res Dep) 18' BOWRIDER RUNABOUT - 115HP YAMAHA O/B ($500/week Res Dep) 19' BOWRIDER RUNABOUT - 150HP YAMAHA O/B ($500/week Res Dep) 19' BOWRIDER RUNABOUT - V8 MERCRUISER I/O ($500/week Res Dep) 20' BOWRIDER RUNABOUT - V6 MERCRUISER I/O ($500/week Res Dep)
Alternate boat selection? (optional)		PLEASE PICK AN ALTERNATE BOAT FROM THIS LIST 15' WHALER STYLE - 40HP - 4 STROKE O/B 17' WHALER STYLE - 50HP - 4 STROKE O/B 20' PONTOON BOAT - 50HP YAMAHA O/B 17' BOWRIDER RUNABOUT - 80HP YAMAHA O/B 17' BOWRIDER RUNABOUT - 100HP YAMAHA O/B 18' BOWRIDER RUNABOUT - 115HP YAMAHA O/B 19' BOWRIDER RUNABOUT - 150HP YAMAHA O/B 19' BOWRIDER RUNABOUT - V8 MERCRUISER I/O 20' BOWRIDER RUNABOUT - V6 MERCRUISER I/O
Do you wish to rent a water toy package?		Ski Pkg 2 x Ski Pkg 3 x Ski PkgDecide Later
Pick desired water toys:		Adult Combo Skis Jr. Combo SkisTrainer Jr.Skis Wakeboard Pkg Kneeboard Pkg Ski Tube Pkg
RENTAL START DATE (ie. July 24/2010)			Each Day Counts As a Full Rental Day. (ie. A Sat to Sat Boat Rental is 8 days.)
RENTAL END DATE (ie. Aug 6/2010)
Is this a mid-week special?		Yes No
*Reservations are for a Minimum of 4 Days, and require a $300-$500 deposit for each week or part week of rental. ** Please Note - Your Boat Rental is not booked until we process your deposit and send you a confirmation! *** Please contact us by telephone or e-mail if you do not get a response to this form within 24 Hours.
Visa or Master Card # (Please enter the first 12 digits of your Credit Card - We will contact you for the last 4 digits to complete your deposit.)		# # # #
American Express cc# (Please enter the first 10 digits of your Amex Card - We will contact you for the last 5 digits to complete your deposit.)		# # # # #
Credit Card Expiry Date		Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 10 11 12 13 14 15 *must be filled in
Please enter additional information here:
PLEASE CONFIRM YOUR E-MAIL ADDRESS		*must be filled in