Rental Reservation Form 

 PO Box 1739 Pagosa Springs CO  81147 970/264-2866    970/264-2862 fax   www.SkiPagosa.com

Name:              ___________________________________________________________________

Email:              ___________________________________________________________________

Home Address:  ___________________________________________________________________

City:                _________________________    State:    _________     Zip: _______________

Phone:             __________________________________________________

Height:             _____________         Weight: _________                  Age:  ___________

Street Shoe Size:    ________     Circle one:  Womens   Mens   Skier Type:    I     II      III

Ski Length:        __________     m Pick for me.

PICK YOUR PACKAGE RATE (see link on website for a definition of each option)

   m Basic Ski Package                           

   m Sport Package                           

   m Performance  Package                 

   m Demo Ski & Boot Package                

   m Snow Board Package                     How do you ride?   m Regular Stance      m Goofy Stance

Ski Dates: from _______/________/_____ to _______/_______/________

            Pick up day before?         m Yes    m No  (must be done between 2pm and 4:30pm)

Credit Card _________________________________________     Exp Date _______/_______

                                MC                     Visa                    Amex

Pagosa Ski Rental needs to get this form sent to us two weeks in advance in order to guarantee your equipment. 

We need one form per person (in the case of family reservations information may be combined
but we need the information for each skier or boarder).  Please fill out and fax to us! 
If you have given us two weeks notice, we'll have your equipment waiting for you!