Single Rental Request Form
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Rental Start Date
*
-
Day
-
Month
Year
Date Picker Icon
Rental End Date
*
-
Day
-
Month
Year
Date Picker Icon
Multi-Day Rentals are discounted For anything more than 5-Days.
4 Passenger Gas - $95 Daily
4 Passenger Electric - $105 Daily
6 Passenger Gas - $145 Daily
6 Passenger Electric - $245 Daily
Additional Requests
Personal Information
Full Name
*
First Name
Last Name
Enter your company/ organization name (if applicable)
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
I agree to allow Stoltzfoos Golf Carts to store my personal information for the purpose of processing and managing my personal golf cart rental.
*
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