home *** CD-ROM | disk | FTP | other *** search
/ World of Education / World of Education.iso / world_g / goak2_3b.zip / GOAK2_3B.EXE / RENTWRK.FRM < prev    next >
Text File  |  1993-04-03  |  2KB  |  61 lines
  1.  
  2. ________________________________________________________________
  3.                     Capital Rental-Leasing Inc.
  4.                     9099 Glacier Hwy.
  5.                     Juneau, Ak 99801
  6.                     907-789-4111 VOICE
  7.                     907-789-7098 FAX
  8.  
  9. Name:_____________________________________________
  10.  
  11. Adrs:_____________________________________________
  12.  
  13. City:_____________________________________________
  14.  
  15. Home Phone:_____________________Wk.Ph.________________________
  16.  
  17. Licence No.__________________
  18.  
  19. State:________________________
  20.  
  21. Soc. Sec. No._____________________________________
  22.  
  23. Employer__________________________________________
  24.  
  25. Emp Adrs._________________________________________
  26.  
  27. Emp.City,ST.Zip:__________________________________
  28.  
  29. Local Residence:__________________________________
  30.  
  31. Local Ph. No._____________________________________
  32.  
  33.  
  34.  
  35. Reserv.Dates& Time:_______________________________
  36.  
  37. Type of Rental:___________________________________
  38.  
  39. Payment: _________________________________________
  40.  
  41. Credit Card:______________________________________
  42. CC No.      ______________________________________
  43. Exp. Date:________________________________________
  44.  
  45. Signature:________________________________________
  46.  
  47. Airport Arrival?_______________Flgt #:_____________
  48.  
  49. Ferry Arrival?______ Hotel Pickup:_________________
  50.  
  51. Bed/Brkfast:_______________________________________
  52.  
  53. Notes: ____________________________________________
  54.  
  55. ___________________________________________________
  56.  
  57. ___________________________________________________
  58.  
  59. From EPAC's Vacation Alaska VOLI No.1 2nd Quarter Issue
  60. ____________________________________________________
  61.