EGYPTIAN DIVE CLUB
EQUIPMENT RENTAL CONTRACT
Printed Name: _____________________________________________________ Date: __________________
Address _________________________________City__________________ Zip________
Home phone ____________________ Work Phone ________________ SIUC Student Yes No
Authorized club representative checking out equipment (please print)__________________________________
Authorized club representatives initials: ______________ C-card check: Club membership verified:
QTY
ITEM
Serial #
Fee *
Total
Returned (date)
Size (Cu Ft):
Cylinder Steel : Aluminum:
$6.00
Regulator w/gauge & octopus
$9.00
BCD
$9.00
Snorkeling Vest
$4.00
Wetsuit Size:
Top:
Bottom:
$12.00
Hood
$4.00
Gloves
$4.00
Weight belt w/weights
# of weights:
# of lbs:
$4.00
U/W Light
$6.00
Gear Bag
$4.00
Mask
$4.00
Fins
$4.00
Air fills (limited to 2200 PSI)
$3.00
Other charges (specify):
Subtotal
Number of participation coupons:
Less Discount
Payment made by Cash: Check: #_______
Total due
Date and time for Check In: _________________________Members initials:__________
* Rental fee is based on 4 days (such as Friday thru Monday). This may be extended to no more then one week if approved by the
authorized club representative (this can be done to accommodate a more convenient check-in date for the club representative). If
member wishes to extend the rental, cost will increase by the listed fee, per item for each additional (or any portion of) four days.
Agreement
All equipment rental fees will be paid at the time of rental, no credit will be granted under any circumstances.
Only current EDC members may rent equipment. Only one regulator, BC, and wetsuit will be available per
current member. An additional, nonnegotiable rental fee (as listed above) will be added for each four days (or any
portion of four days) for each item still in the possession of the member after the above, agreed upon return date
and time. THIS WILL BE STRICTLY ENFORCED.
I have read, understand and