Form for renting individual canyoning equipment

Form for renting individual canyoning equipment
fully equipped harness petzl canyon club, pirana old or pirana club or Descender eight, wetsuits seland , petzl helmet, petzl backpack 35lt, waterproof container 3,6 or 6,4lt

payment is made in cash on the day of equipment rental

prices: 25€ per day and 20% discount for each additional day
Name

First NameLast Name
height (cm)
weight (kg)
shoe size for socks (42)
first date of use

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
last date of use

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email
example@example.com
Phone Number

Area CodePhone Number
Should be Empty: