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Boot Doctors, Telluride Mountain Village

Ski / Snowboard Equipment Reservations

  * denotes required fields.

List this reservation for lookup or reference under the following:
     (If a group (ie. ski club), enter group name in last name field)

*Last name:

First name:
*Home City:
*State/Province:
*Arrival date in Telluride: (mm/dd/yy)
* Telluride phone & lodging:

Primary contact person for this reservation:

E-mail (check carefully):
*Last name:
*First name:
*Street Address:
Address (cont):
*City:
*State/Province:
*Zip/Postal code:
Country:

At least one phone number is needed for contact purposes.

Work Phone: (555-555-1212)
Home Phone: (555-555-1212)
FAX (555-555-1212)


Credit card info required to reserve equipment:
(The credit card is used to hold the reservation.  If equipment is not picked up and has not been cancelled the credit card will be charged for the reservation.  The rentals will be charged at the time of pickup.

*Credit card type:
*Card number: (no spaces or hyphens)
*Exp. Date: (mm/yy)
*Cardholder name: (exactly as on card)

Please complete the credit card address information listed below if different from primary contact person above.

*Street Address:
Address (cont):
*City:
*State/Province:
*Zip/Postal code:
Country:

Please complete one guest form for each person who requires equipment.  This form will accommodate up to 6 guests.  When done click the "Submit" button at the bottom.  Your form will be emailed to us.  We will contact you either by email or phone to acknowledge receipt of your reservation.  If your party is more than 6 please complete additional forms as needed.

1st Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet      wrist guards    padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

 

2nd Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet    wrist guards     padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

 

3rd Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet    wrist guards     padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

 

4th Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet    wrist guards     padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

 

5th Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet    wrist guards     padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

 

6th Guest
Last name:
First name:     Age:   Sex:
Wgt: (lb)  Hgt:(x' xx")  Shoe size:

Pickup on:

(mm/dd/yy)

Return on:

(mm/dd/yy)     Total days:

Equipment:
Safety
  items:
helmet     wrist guards    padded shorts    (check if needed)
 
Special   
  requests:

  Ski info

 Length (cm):

   Skier type:

  Snowboard info

 Length (cm):

        Stance:
    Stance angles if known   Front:           Back:

Please review your entries before submitting your reservation.

Feel free to print this form then fax it to us.