Peace Scuba Center Equipment Request Form

RENTAL EQUIPMENT RESERVATION FORM
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Description

Scuba Package (Tank, Weights, BC, Regulator, Wetsuit & Hood)   Height/Weight & Waist size Required - indicate desired amount of weight and type of tank requested under Special Instructions
Full Scuba (Tank, Wts, BC, Reg, Wetsuit, Hood, Mask, Fins, Snorkel, Booties & Gloves)   Height/Weigh/Waist & Shoe size Required - indicate desired amount of weight and type of tank requested under Special Instructions
Snorkel Package (Wetsuit, Hood, Boots, Gloves Mask, Snorkel, Fins)      Height/Weigh/Waist & Shoe size Required - indicate desired amount of weight requested under Special Instructions

Tank

Tank Nitrox      Mix:   32%  40%

Weight Belt:        Pounds Weight & Waist size Required
Soft Weights:      Pounds   Weight & Waist size Required
Wetsuit        Height/Weight & Waist size Required
Regulator, Alt. Air, Gauges & Compass
BCD          Height/Weight & Waist size Required 
Boots           Shoe size Required
Gloves
Hood          Height & /Weight Required 
Mask / Snorkel             Height & Weight Required
Fins                          Regular Split Fins Shoe size Required 
Computer
Light (Batteries NOT included) You must provide 8 C Cells
DUI Drysuit w/Undergarments $500 deposit required / you must come into store for fitting - drysuit certification or drysuit orientation required for rental
   
Measurements

  Male:   Female:    Height: ft in     Weight:     Waist:    Shoe:

Delivery Request
Trip Departure
Date   Departs   Day of the Week   No Days
     
Trip Return
Date        
       
Boat
 
Special Instructions
  Note any sizing or fitting requirements
Payment Options                                                            Payment MUST be arranged prior to renting

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Download Credit Card payment form to fax in 


 
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Special instructions

20 Nov 2004 04:41 PM

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