BELIZE GOLF CART RENTAL FORM - Via Agent Deborah Neisius www.RentmeinBelize.com. This is a secure form embedded in an iframe. For a direct link to the form, please copy and paste this address into your browser: https://fs11.formsite.com/dneis/form2/index.html

PLEASE SELECT QUANTITY & NUMBER OF DAYS. Note: A non-refundable US$100 deposit of the cart is due upon making the reservation. The balance is due prior to delivery of the cart. Price includes Insurance and 12.5% Tax.

GAS: Golf Cart is delivered with a full tank of gas. Cart can be refilled at gas station or charged according to amount used as below: 1/4 tank = BZ$20, 1/2 tank = BZ$36, 3/4 tank = BZ$56, full tank = BZ$72. Note: Gas prices vary according to market trends. All carts have lift kits, off-road tires, windshields, headlights, horns, extended roofs, mud fenders, number bars and patented steering locks.

QUANTITY? How many carts do you want? Some guests with larger groups order (2) 4-seaters. *

4-SEAT GOLF CART RENTAL

6-SEAT GOLF CART RENTAL

1 Days Rental of 6-SEATER= US$102.38 (BZ$204.75). Includes Insurance & 12.5% tax.

2 Days Rental of 6-SEATER= US$191.07 (BZ$382.50). Includes Insurance & 12.5% tax.

3 Days Rental of 6-SEATER= US$261.57 (BZ$523.13). Includes Insurance & 12.5% tax.

4 Days Rental of 6-SEATER= US$329.07 (BZ$658.13). Includes Insurance & 12.5% tax.

5 Days Rental of 6-SEATER= US$384.19 (BZ$768.38). Includes Insurance & 12.5% tax.

6 Days Rental of 6-SEATER= US$441.00 (BZ$882.00). Includes Insurance & 12.5% tax.

7 Days Rental of 6-SEATER= US$492.19 (BZ$984.38). Includes Insurance & 12.5% tax.

14 Day Rental of 6-SEATER= US$817.32 (BZ$1634.63). Includes Insurance & 12.5% tax.

BILLING INFORMATION

First Name *

Last Name *

Street Address *

Address Line 2

City *

State

District

Zip Code

Phone Number *

Email Address *

TRAVELERS and BELIZE CITY INTERNATIONAL ARRIVAL/DEPARTURE INFORMATION

Note: The Cart will be delivered directly to your condo between the hours of 8:00 am and 6:00 pm only. You must be present to sign for your cart and have the driver license of all driver's present on you. Please schedule a day and time for delivery and pick-up (again, hours must be between 8 am and 6 pm).

RESORT NAME AND ROOM NUMBER *

Delivery Day: * +

Delivery Time (Hours are 8:00 AM to 6:00 PM): *

Departure/Return Cart Day: * +

Departure Pick-Up Time (Open hours between 8:00 am and 6:00 pm): *

ADDITIONAL INFORMATION/COMMENTS:

Optional Instructions/Questions

Credit Card Information

Current Total:

$0.00

Name on Card *

Credit Card Type (DISCOVER NOT ACCEPTED) *

Credit Card Number *

Expiration Date (mm/yy) *

SEC Code *

I hereby authorize Belize Carts to charge a US$100 deposit to my credit card. CANCELLATION POLICY: Full refund if cancelled 60+ days prior to arrival. 50% refund if cancelled 30-60 days prior to arrival. No refunds if cancelled less than 30 days prior to arial. A 5% handling fee will be charged for all refunds. No refunds for no-shows or unused portions of rental. There will be no refunds due to airline delays, strikes political unrest or Acts of God, including Hurricanes. Travel insurance is recommended and can be purchased through Travel Guard International www.travelguard.com. Signature (Required): *

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