We Wan Chu Cottage's 2019 - 16 Ft. Boat Rental
Reservation Payment Form

Mail: P.O. Box 253 Chautauqua, NY 14722
Fax: 716-789-3636         Phone: 716-789-3383
Please note: a 4% Convenience fee added to all Card Payments

Personal Check, Visa , MasterCard, AMEX & Discover 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 15 H.P. or 20 H.P. Motor. ( Please Circle the Motor Size)

or 16 ft. Short or Long Transom Boat Only (MIN. Three Days) 

For the Dates of________________________________________________.

Quoted Rental Rate = $ ___________________________.    NO PETS.

Reservation under the Name of ____________________________________.

Name ______________________________________________________________________

Address ____________________________________________________________________

City______________________________ State _________ Zip Code ___________________

Daytime Phone Number __________________________________________

e-mail Address _________________________________________________

Reservation Policy: $ 200 Non-Refundable Deposit to Confirm a Weekly 16 Ft. Boat Rental Reservation.
$ 100 Non-Refundable Deposit to Confirm a Minimum Three Day 16 Ft. Boat Rental Reservation.

Balance Due when you Pick Up the Boat Rental + Security Deposit. 4% Convenience fee added to card payments.

2018 - 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 ____________________________________

CSC / Card Security Code # (last three digits on back of card)_______________________

Signature __________________________________________________________________

Today's Date ___________________________.

Visa, MasterCard, AMEX & Discover Credit or Debit Cards Accepted