We Wan Chu Cottage's 2008 - 16 Ft. Boat Rental
Reservation Payment Form

Mail: P.O. Box 253 Chautauqua, NY 14722
Fax: 716-789-3636         Phone: 716-789-3383
Visa & MasterCard Credit Cards Accepted

All Reservations are made when we have a live conversation, either in person or by telephone.

I _____________________________________________ , either have enclosed payment or authorize 
                           Please Print Your Name

We Wan Chu Cottages to Charge my credit card for $____________________, as a Deposit on a 

Reservation for 16 Ft. Boat Rental with an 8 H.P. or 15 H.P. Motor. ( Please Circle the Motor Size)

For the Dates of________________________________________________.

Quoted Rental Rate = $ ___________________________.    NO PETS.

Reservation under the Name of ____________________________________.

Name ______________________________________________________________________

Address ____________________________________________________________________

City______________________________ State _________ Zip Code ___________________

Phone Number _______________________ e-mail Address __________________________

Reservation Policy: $ 100 Non-Refundable Deposit to Confirm a Weekly 16 Ft. Boat Rental Reservation.
$ 50 Non-Refundable Deposit to Confirm a Minimum Two or Three Day 16 Ft. Boat Rental Reservation.

Balance Due when you Pick Up the Boat Rental + Security Deposit...
2008 - 16 Ft. Boat Cancellation Policy: Deposit Forfeited...

Deposit Forfeited if Reservation is not Paid in Full by the end of the First Day of the Deal...

Name as it appears on the Credit Card __________________________________________

Credit Card Numbers ________________________________________________________

Expiration Date ____________________________________

Signature __________________________________________________________________

Today's Date ___________________________.

Visa & MasterCard Credit or Debit Cards Accepted