Rental: Rental Reservation Request

PERSONAL INFORMATION

Best method to confirm your reservation:

work/cell phone
home phone
e-mail

ITEM

QUANTITY / SIZE (MEN's)

QUANTITY / SIZE (WOMEN's)

Regulator

0 1 2 3 4 5 6 7 8 9 10  (one size)

Computer
(Nitrox ready)

0 1 2 3 4 5 6 7 8 9 10  Wrist Mount

0 1 2 3 4 5 6 7 8 9 10  Hose Mount

BCD

0 1 2 3 4 5 6 7 8 9 10  Extra Small

0 1 2 3 4 5 6 7 8 9 10  Small

0 1 2 3 4 5 6 7 8 9 10  Medium

0 1 2 3 4 5 6 7 8 9 10  Medium Large

0 1 2 3 4 5 6 7 8 9 10  Large

0 1 2 3 4 5 6 7 8 9 10  Extra Large

Jumpsuit 7 MM

Leave blank
if not needed

(Men's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium Tall

0 1 2 3 4 5 6 7 8 9 10  Qty  Large

0 1 2 3 4 5 6 7 8 9 10  Qty  Large Short

0 1 2 3 4 5 6 7 8 9 10  Qty  Large Tall

0 1 2 3 4 5 6 7 8 9 10  Qty  XL

0 1 2 3 4 5 6 7 8 9 10  Qty  XL Short

0 1 2 3 4 5 6 7 8 9 10  Qty  2X

0 1 2 3 4 5 6 7 8 9 10  Qty  3X

(Women's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 4

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 6

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 8

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 10

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 12

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 14

Jumpsuit 3 MM

Leave blank
if not needed

 (Men's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Extra Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium

0 1 2 3 4 5 6 7 8 9 10  Qty  Large

0 1 2 3 4 5 6 7 8 9 10  Qty  XL

0 1 2 3 4 5 6 7 8 9 10  Qty  XL Short

0 1 2 3 4 5 6 7 8 9 10  Qty  2X

0 1 2 3 4 5 6 7 8 9 10  Qty  3X

(Women's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 4

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 6

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 8

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 8 Tall

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 10

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 12

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 14

Shorty

Leave blank
if not needed

(Men's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Extra Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium

0 1 2 3 4 5 6 7 8 9 10  Qty  Large

0 1 2 3 4 5 6 7 8 9 10  Qty  XL

0 1 2 3 4 5 6 7 8 9 10  Qty  2X

0 1 2 3 4 5 6 7 8 9 10  Qty  3X

(Women's)

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 4

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 6

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 8

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 10

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 12

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 14

Hood / Beanie

Leave blank
if not needed

0 1 2 3 4 5 6 7 8 9 10  Qty  Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium

0 1 2 3 4 5 6 7 8 9 10  Qty  Large

0 1 2 3 4 5 6 7 8 9 10  Qty  XL

Mask

0 1 2 3 4 5 6 7 8 9 10  Purge   

0 1 2 3 4 5 6 7 8 9 10  Non-purge

Snorkel

0 1 2 3 4 5 6 7 8 9 10

Fins, Open Heel

Leave blank
if not needed

0 1 2 3 4 5 6 7 8 9 10  Qty  Small

0 1 2 3 4 5 6 7 8 9 10  Qty  Medium

0 1 2 3 4 5 6 7 8 9 10  Qty  Large

0 1 2 3 4 5 6 7 8 9 10  Qty  XL

Fins, Full Foot

Leave blank
if not needed

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 5   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 6   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 7   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 8   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 9   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 10   M F  

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 11   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 12   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 13   M F

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 14   M F

Boots

Leave blank
if not needed

0 1 2 3 4 5 6 7 8 9 10  Qty  Size 5   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 6   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 7   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 8   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 9   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 10   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 11   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 12   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 13   M F

0 1 2 3 4 5 6 7 8 9 10 Qty  Size 14   M F

Light

0 1 2 3 4 5 6 7 8 9 10

Compass

0 1 2 3 4 5 6 7 8 9 10  (wrist mount only)

Snorkel Vest

0 1 2 3 4 5 6 7 8 9 10  Adult  

0 1 2 3 4 5 6 7 8 9 10  Child

Tank

0 1 2 3 4 5 6 7 8 9 10

Dive Certification # (req'd for rental)

Weight Belt with weights

Leave blank
if not needed

# of lbs. wanted      Person 1

# of lbs. wanted      Person 2

# of lbs. wanted      Person 3

# of lbs. wanted      Person 4

# of lbs. wanted      Person 5

Please list any questions, comments, or special requests:

Pickup Date

(usually the day before you leave on your trip)

Return Date

(usually the day after you return from your trip)

***I have read and fully agree to the LIABILITY RELEASE & EXPRESS ASSUMPTION OF RISK / EQUIPMENT RENTAL AGREEMENT (PDF).

Yes, I agree.   No, I do not agree.