BLACKADAR BOATING, P.O.
PHONE: (208) 756-3958 FAX:
(208) 756-4452
Email: blackadarboating@custertel.net
SHUTTLE INFORMATION AND RELEASE AGREEMENT
Please fill out completely and return with your keys and payment preferably at least 30 days prior to your shuttle. If you send keys through the mail they need to be in a padded envelope: Keys have trouble in regular envelopes!
Please call before you launch to insure that your vehicle keys were received.
Name _____________________________________ Daytime Phone #
________________________
Address _______________________________________ Cell Phone
#________________________
City __________________________________ State ___________________ Zip
________________
I will be floating the ____________________River. I will need ______________Vehicle(s)
shuttled.
Pick-up my vehicle(s) at __________________________________ on (date)
_____________________
Deliver my vehicle(s) to ___________________________________ on (date)
____________________
Vehicle(s) description including: make, model, color, license plate
number and state, plus any
quirks your vehicle has.
VEHICLE DESCRIPTION(S) SHUTTLE FEE FUEL DEP TOTAL
1. __________________________________________ _________ ________ _________
2. __________________________________________ _________ ________ _________
3. __________________________________________ _________ ________ _________
4. __________________________________________ _________ ________ _________
5. __________________________________________ _________ ________ _________
TOTAL
_____________
PAYMENT: Cash _________ Visa _________ MasterCard _________ Check
Number _________
CARD NUMBER ______________________________________ EXP DATE
____________
3-DIGIT SECURITY CODE (on back of card) ______________
I HEREBY STATE THAT MY VEHICLE(S) ARE PROPERLY INSURED AND THE
INSURANCE COVERS DRIVERS BLACKADAR BOATING MAY USE FOR THE
PURPOSE OF SHUTTLING SAID VEHICLE(S).
SIGNATURE
_______________________________________________________________