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NEUSE ADVENTURE CANOE & KAYAK RENTAL AGREEMENT CUSTOMER INFORMATION Today’s Date: ____/____/____ Name:_________________________________________ Driver’s License #____________ Address:_______________________________________ H#: (____)______-____________ City:_____________ State:________Zip Code________ W#: (____)______-____________ Email:__________________________________________ C#: (____)______-____________ PAID_______________NOT PAID___________TAG(S)#__________ DATE:___/___/___ DROP OFF TIME: _______am/pm Booking Employee’s Initials:_____ PICK UP TIME:_______ am/pm Receiving Employee’s Initials:_____ COVERED BRIDGE RD. CRAFT 2 Person Canoe *additional person charge* 1 Person Kayak 2 Person Kayak Shuttle POOLE RD. CRAFT 2 Person Canoe *additional person charge* 1 Person Kayak 2 Person Kayak Shuttle Shuttle to Smithfield #OF BOATS _____ _____ _____ _____ _____ Price $40 $10 $30 $40 $15 TOTAL ______ ______ ______ ______ ______ _____ _____ _____ _____ _____ _____ $80 $10 $60 $80 $20 $25 ______ ______ ______ ______ ______ ______ Rent Fees Paid: $_________ (Cash Only) Deposits Paid : $_________ (Cash Only) Subtotal all fees: $__________ Taxes: $__________ Total for Rental: $__________

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