Renter Signature. Date: If a third party is responsible for paying the fees, please indicate here: Name of responsible party: Address: City, State, Zipcode: Email: Tel #: CREDIT CARD AUTHORIZATION FORM FOR HEBREW INSTITUTE OF RIVERDALE – THE BAYIT 0000 Xxxxx Xxxxxx Parkway Bronx, NY 10463 000-000-0000 Room Rental Payment Form If you would like to charge your rental payment to your MASTERCARD or VISA, please complete the authorization form below. Payment must be for the full amount due. You can also pay online at xxx.xxxxxxxx.xxx/xxxxxx.xxx I authorize Hebrew Institute of Riverdale – The Bayit to charge the following amount to my credit card: Please charge my credit card in the amount of _____ _. Name on MASTERCARD or VISA (only) _____ _ _ _ _ _ _ ___ MASTERCARD or VISA Number ______ _ _ _ _ _ _ _ _ __ Expiration Date _____ _ _ _ _ _ Signature ______ _ _ _ _ _ _ _ _ _ __ Date ______
Renter Signature. Date: If a third party is responsible for paying the fees, please indicate here: Name of responsible party: Address: City, State, Zipcode: Email: Tel #: CREDIT CARD AUTHORIZATION FORM FOR HEBREW INSTITUTE OF RIVERDALE – THE BAYIT 0000 Xxxxx Xxxxxx Parkway Bronx, NY 10463 000-000-0000 Room Rental Payment Form If you would like to charge your rental payment to your MASTERCARD or VISA, please complete the authorization form below. Payment must be for the full amount due at this time. You can also pay online at xxx.xxxxxxxx.xxx/xxxxxx.xxx I authorize Hebrew Institute of Riverdale – The Bayit to charge the following amount to my credit card: Please charge my credit card today in the amount of (deposit). Please charge the balance of my room rental on (at least 1 week prior to event) Name on MASTERCARD or VISA (only) : Card # Expiration Date: CVV code: _
Renter Signature. X Renter Group Contact Signature Date (Must be signed by payee - check or cardholder) X Printed Name NC Aquarium at Fort Xxxxxx - Staff Use Only: X Aquarium Events Coordinator Signature Date X Printed Name Please return pages 6-13 of this Rental Guide with deposit to: N.C. Aquarium at Fort Xxxxxx 000 Xxxxxxxxxx Xx., Xxxx Xxxxx, XX 00000 Or by fax to: (000) 000-0000 Attention: Special Events
Renter Signature. Date: If a third party is responsible for paying the fees, please indicate here: Name of responsible party: Address: City, State, Zipcode: Email: Tel #: CREDIT CARD AUTHORIZATION FORM FOR HEBREW INSTITUTE OF RIVERDALE – THE BAYIT 0000 Xxxxx Xxxxxx Parkway Bronx, NY 10463 000-000-0000 Room Rental Payment Form Payment must be for the full amount due at this time. You can also pay online at xxx.xxxxxxxx.xxx/xxxxxx.xxx I authorize Hebrew Institute of Riverdale – The Bayit to charge the following amount to my credit card: Please charge my credit card today in the amount of (security deposit). Please charge the balance of my room rental on _ (at least 1 week prior to event) Name on Credit Card Card Number Expiration Date CVV:
Renter Signature. It is understood that the Renter shall indemnify and hold the Saint-Pierre-Jolys District Recreation Centre Inc, the manager, the employees, the board of directors and/or the Village of St-Pierre-Jolys harmless from and against all claims or demands with respect to the use of the Arena. The Saint-Pierre-Jolys District Recreation Centre Inc., the manager, the employees, the board of directors and/or the Village of St-Xxxxxx-Xxxxx is not responsible for personal injury or damage or for loss of personal items or equipment of the Renter or anyone attending on the invitation of the Renter.
Renter Signature. Allowed Use of the Rental The rental may only be used on those public roadways with sufficient width and clearance to allow the rental to be operated safely and without damage. Under no circumstances may the rental be operated and used for off-road purposes. If Dealer provides a driver for the rental, Xxxxxx remains responsible for all damage to the rental, missing equipment, and Dealer's administrative expenses connected with damage regardless of whether or not Renter or the driver is at fault. Unpaved Roadways Allowed (excl. RV Parks & Campgrounds) YES NO RENTER INITIALS Under no circumstance shall: The rental be driven outside the United States and Canada. Any pets or other animals be allowed in the rental without permission. The awning may not be unrolled or used without prior approval. Anyone be allowed on the roof of the rental. Anyone occupy any towed rental while it is in motion. Insurance & Costs The Renter is responsible for all damage or losses caused to themselves, their property, the RV Rental and third parties regardless of fault. The Renter must be approved for Insurance for the RV Rental through Outdoorsy or the Renter has provided the Dealer with an insurance binder indicating that the Renter has motor vehicle liability, collision and comprehensive insurance covering the Renter, the Dealer, third parties for the vehicle you are driving and/or towing. Renter is solely responsible for any and all parking tickets, citations, toll charges and other charges issued during Xxxxxx's contractual possession of the rental. Maintenance and Breakdown Dealer is responsible for checking all fluid levels, including oil and coolant levels, checking air tire pressure, lug nuts and wheels within 90 days prior to rental departure. Should a breakdown occur due to lack of maintenance. Dealer acknowledges their claim may be denied. Renter must immediately notify Dealer for repair authorization and follow instructions provided. Hauling and Delivery Renter liability for damages relating to the delivered rental begins when the Renter takes possession of the keys. and ends when the rental is returned to the Dealer or their designated delivery driver. Any damage that occurs during the delivery or return of vehicle is the responsibility of the Dealer up to the deductible. All delivery drivers of insured vehicles must be approved via the Outdoorsy driver check or provide additional proof of insurance coverage through a third party.
Renter Signature. General Requirements: Xxxxxx agrees not to drive in a careless or negligent manner while towing or driving the RV Rental, nor drive while under the influence of alcohol or drugs, nor permit operation of the vehicle by any person except those signed to the agreement and approved as drivers. Xxxxxx further agrees not to use, or permit use of the rental for unlawful purposes. Renters will hold Dealer harmless from any and all fines and penalties incurred during the rental period caused directly or indirectly by negligence, misuse or carelessness. Xxxxxx further agrees to indemnify and hold harmless the Dealer from and against any and all claims for loss of, or damage to property, or injury to person, including death, resulting from the use and operation of the RV Rental. Unless prohibited by law, the Renter releases the Dealer and Outdoorsy from any liability for consequential, special or punitive damages in connection with the RV Rental. Renter shall hold harmless, other client owners, Dealer, Outdoorsy and its authorized agents and employees from and against any and all loss, bodily injury, damages and expenses, including legal expenses, of any kind arising from the RV Rental during the Renters possession extending to such time RV Rental is completed and cleared by Dealer, including without limitations, latent and other defects whether or not discoverable by Renter or Dealer. This indemnity shall continue in effect at all times despite the return of the rental before or after expiration of the contract terms whether by formal request from Dealer or otherwise. It is agreed and understood that Dealer may control the defense of any such claim. By signing below, you acknowledge that you have been given an opportunity to read the terms of this Agreement before being asked to sign. Your signature permits us to process a credit charge in your name for all rental charges due under this Agreement.
Renter Signature. DATE: Signature acknowledges that renter has read and agrees to the above policies, terms and conditions DEALER SIGNATURE: DATE:
Renter Signature. 13. Sound System: The Library Ballroom sound system may be used for speech or recorded music for an additional fee. DJ/Musicians may not attach their system to our system. Some packages listed in Schedule A of this contract include the sound system.
Renter Signature. Prop condition at return (parts&labor) Charge Lower unit condition at return (parts&labor) Charge Exterior condition at return (parts&labor) Charge Interior condition at return (parts&labor) Charge Other return comments, damaged missing equiment: hour meter at return Gallons fuel used less hour meter at departure Fuel Charge total engine hours used Total Charges Fuel Lost/Damaged Equipment Cleaning Fees Late Fees
