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oREGoN STALL MAT RENTALS LLC
OQHA SUMMER CLASSIC STALL MAT RENTAL FORM
BILLING INFO:
Name: _______________________________ Phone:___________ Address:_______________________________________________ City/State/Zip:__________________________________________ Email:_________________________________________________
SERVICES REQuESTEd & STALLING INFo: QuANTITY ______ $65 STALL MAT RENTAL (per stall) if received by 6/9/17
______ $75 STALL MAT RENTAL (per stall) if received after 6/9/17 ______ $25 STALL READY SERVICE (per stall) with stall mat rental ______ $35 STALL READY SERVICE (per stall) without stall mat rental
Stalled With/Trainer:__________________ Phone:______________
Show Arrival Date:____________ Show Departure Date:_________
RENTER agrees that the rented Stall Mats will be returned free from all damage and in the same good con- dition and appearance as when provided, normal wear and tear by the intended stall animal (only) except- ed. RENTER agrees to pay for any damage to the Stall Mats, including the cost of replacement of the Stall Mats, if damaged beyond reasonable reuse. If the Stall Mats are missing or unaccounted for at the time of pick up, RENTER agrees to be charged for the cost of replacement. RENTER authorizes payment at RENTER's expense from the credit card provided for the cost of replacement. If mats are moved to a dif- ferent stall, you must notify Oregon Stall Mat Rentals. Failure to do so may result in charges for missing mats. Important: Call 541-840-1579 when you leave the show, so we can secure the mats. Failure to do so may also result in charges for missing or unaccounted mats. Once again: once the Stall Mats are rented and in your possession, any damage, theft, loss, or failure to account is your responsibility. Only upon noti- fication and release of responsibility by calling Oregon Stall Mat Rentals does your responsibility end. In order to rent Stall Mats, you must separately acknowledge the following: I agree to rent the stall mats for the specified time of the show above. If the Stall Mats are damaged, lost, stolen, or if I do not notify Oregon Stall Mat Rentals prior to the date of my departure by phone 541-840-1579 or email (oregonsmr@gmail.com) to return the mats, I agree to purchase the mats at $45 per mat rented.
RENTER SIGNATuRE:___________________________________________________ FoRM oF PAYMENT: _____ CHECK (MAdE To oSMR) _____VISA ____MASTERCARd CREdIT CARd #:__________________________________ ZIP CodE:__________ CARd EXPIRATIoN:_________________ CV2 CodE:_______________ CARdHoLdER SIGNATuRE:___________________________________
SENd IN YouR CoMPLETEd RENTAL FoRM ANd PAYMENT:
Phone: 541-840-1579 Fax: 541-826-2698 Email: oregonsmr@gmail.com MAIL TO: Oregon Stall Mat Rentals, PO Box 1051, Eagle Point, OR 97524