LOW SPEED VEHICLE RENT & RESERVATION FORM
**Indicates Required Information for your Reservation**

Please tell us how you found out about us*:

Renters Full Name*:  

Home Address*: 

City*:  

State*:      Zip Code*:      E-mail*:  

Contact Phone*: Cell Phone:

PRIMARY RENTER / RESPONSIBLE PARTY'S INFORMATION

Drivers License #*:    State*:

Date of Birth*: 

Insurance Carrier*: 

Insurance Policy #*: 

Do you carry collision insurance*:  Yes No

Name and phone number of your insurance agent*: 

ADDRESS OF WHERE YOU ARE STAYING

Location*:

Address*: 

City*:  State*: 

Vehicle size

# of LSVs Requested: 

Vehicle Reservations

Promo Code: 

Pickup Date*:
Return Date*:

Call for Daily Rental Availability or less than 7 days from desired rental date.

Lightning Bugz Reservation User Agreement & Cancellation Policy

LOW SPEED VEHICLE AGREEMENT

In consideration for the rental of the low speed vehicle ("Vehicle") provided by Lightning Bugz Low Speed Vehicle (LSV) Rentals ("Owner"), I,*   ("Renter") expressly agree to the following terms and conditions-> PLEASE READ (or view with Google reader)

I understand that the rental of the low speed vehicle is subject to the terms and conditions of the binding Rental Agreement above, in its entirety (back and front), and I have read and understand it.
I have read the user agreement*: Initials*:

Enter the last 4 digits of your SS# for security purposes and to confirm your electronic signature*:

*****Important - Cancellation Policy*****
 In the event that your plans change, you may cancel your reservation up until the date we charge your credit card (30 days prior to arrival). After that date no refund will be guaranteed. Owner will attempt to rent the Vehicle and, if successful will refund the full amount less any difference in rental rate. We encourage the use of vacationers insurance to cover any potential loss.
I have read and understand this cancellation policy.

Thank you!

To reduce the possibility of credit card fraud, we will contact you for your credit card information by phone. Thank you for for your business!