CLICK for Bike Equipment Thumbnail Page
CLICK ABOVE FOR BIKE EQUIPMENT IMAGES


	
Item________Price____Qty____Total___

	Mens Cruiser__$35/WK
	  

	  Unisex Cruiser__$35/WK
	  

      Mens Geared Cruiser__$59/WK
	  

      Womens Geared Cruiser__$59/WK
      

      Mens Geared Hybrid__$59/WK
      

      Womens Geared Hybrid__$59/WK
      

      Boys 20" Bike__$25/WK
      

      Girls 20" Bike__$25/WK
      

      Boys 16" Bike__$25/WK
      

      Girls 16" Bike__$25/WK
      

      Tag-A-Long__$25/WK
      

      Attached To:
      

     Kid Cart__$25/WK
      

     Attached To:

     Baby Seat__$15/WK
      

     Attached To:

     Adult Helmet__$2/WK
      

     Youth Helmet__$2/WK
      

     Toddler Helmet__$2/WK
      

     Basket__$2/WK
      

     Lock__$2/WK
      

  

      
    





  
CLICK for Surf Equipment Thumbnail Page

    CLICK ABOVE FOR SURF EQUIPMENT IMAGES



  
Item________Price____Qty____Total___

  Stand Up Paddleboard 11ft_$150/WK
      

	  Stand Up Paddleboard 10ft_$150/WK
      

      Bic 10ft Epoxy__$55/WK
      

      Bic 9ft 4in Epoxy__$55/WK
      

      Bic 9ft Epoxy__$55/WK
      

      Int 9ft Softboard__$55/WK
      

      Bic 8ft 4in Poly__$55/WK
      

      Int 8ft Softboard__$55/WK
      

      Bic 7ft 9in Poly__$55/WK
      

      Bic 7ft 6in Epoxy__$55/WK
      

      Bic 7ft 3in Poly__$55/WK
      

      Int 7ft Softboard__$45/WK
      

      Bic 6ft 10in Epoxy__$45/WK
      

      Bic 6ft 7in Poly__$45/WK
      

      Bic 6ft 2in Epoxy__$45/WK
      

      Bic 5ft 10in Poly__$45/WK
      

      Adult Bodyboard__$20/WK
      

      Youth Bodyboard__$20/WK
      

      Adult Skimboard__$20/WK
      

      Youth Skimboard__$20/WK
      

  
  






	
CLICK for Kayak Equipment Thumbnail Page

    CLICK ABOVE FOR KAYAK EQUIPMENT IMAGES

    (Kayaks include Paddles & PFD's equal to # of Seats)

	



		
Item________Price____Qty____Total___

      Single Ocean__$59/WK
      

	  Double Ocean__$89/WK
      

      Single Touring__$59/WK
      

      Double Touring__$89/WK
      

      Canoe__$89/WK
      

      Adult Life Vest_$5/WK
      

      Youth Vest(50-90lbs)_$5/WK
      

      Child Vest(30-50lbs)_$5/WK
      

      Toddler Vest_$5/WK
      

      Kayak Tote Cart__$35/WK
      


      

      
CLICK for Beach Equipment Thumbnail Page

  CLICK ABOVE FOR BEACH EQUIPMENT IMAGES

     
Item________Price____Qty____Total___

      Single Jog Stroller_$25/WK
      

      Double Jog Stroller_$35/WK
      

      Beach Utility Cart_$35/WK
      

      Kayak Tote Cart_$35/WK
      

      Beach Umbrella_$25/WK
      

      Beach Chair_$10/WK
      

      
  





  
CLICK for Wetsuit Thumbnail Page

    CLICK ABOVE FOR WETSUIT IMAGES

	


	
Item________Price____Qty____Total___

    Youth 6_$25/WK
      

	  Youth 8_$25/WK
      

      Youth 10_$25/WK
      

      Youth 12_$25/WK
      

      Youth 14_$25/WK
      

      Youth 16_$25/WK
      

      Mens XS_$25/WK
      

      Mens S_$25/WK
      

      Mens M_$25/WK
      

      Mens L_$25/WK
      

      Mens XL_$25/WK
      

      Mens XXL_$25/WK
      

      
      Wmns 2_$25/WK
      

      
      Wmns 4_$25/WK
      

      
      Wmns 6_$25/WK
      

      
      Wmns 8_$25/WK
      

      
      Wmns 10_$25/WK
      

      
      Wmns 12_$25/WK
      

      
      Wmns 14_$25/WK
      

      
      Wmns 16_$25/WK
      

  



















































































SUBTOTAL



  TAX - 6.75%



  DELIVERED TOTAL WITHOUT TIP FOR DRIVER
  


  ADDITIONAL TIP FOR YOUR DELIVERY DRIVER
  



DISCOUNTED TOTAL IF YOU TRANSPORT IT YOURSELF 





NAME : 

HOME ADDRESS : 

HOME CITY, STATE & ZIP : 

LOCAL VACATION HOME ADDRESS : 

LOCAL TOWN/SUBDIVISION : 

HOME PHONE# :  LOCAL/CELL# : 

SPECIAL INSTRUCTIONS / COMMENTS :








 
TERMS, CONDITIONS, & RELEASE OF LIABILITY

 In consideration of being allowed to participate in any way in the Duck Village Outfitters program,

its related events and activities, I, acknowledge, appreciate, and agree that



 1. The risk of injury from the activities involved in this program is significant,

 including the potential for permanent paralysis and death, and while particular skills,

 equipment, and personal discipline may reduce this risk, the risk of serious injury does exist;

 and,

 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown,

 EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others,

 and assume full responsibility for my participation;

 and,

 3. I willingly agree to comply with the stated and customary terms and conditions for participation.

 If, however, I observe any unusual significant hazard during my presence or participation,

 I will remove myself from participation and bring such to attention of the company immediately;

 and,

 4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin,

 HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE DUCK VILLAGE OUTFITTERS and SHORELINE WATER RENTALS,

 their officers, officials, agents, and/or employees, other participants, sponsoring agencies,

 sponsors advertisers, and, if applicable, owners and lessons of premises used for the activity ("Releases"),

 WITH RESPECT TO ANY AND ALL INJURY, DISABILTY, DEATH, or loss or damage to person or property associated with my presence or participation,

 WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law;

 and,

 5. CUSTOMER IS RESPONSIBLE FOR DAMAGES !!!!!






 I ACKNOWLEDGE I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, 

UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SUBMITTING IT, AND SUBMIT IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 I ALSO CONFIRM THAT ALL INFORMATION PROVIDED IS CORRECT.

 

 SALESPERSON NAME : 
 
RECEIPT # :