Vehicle Reservation Form

We require 48 hours notice of any cancellation.
Without the 48 hours notice, you will be charged for a 1 day rental.
Located just a short walk from Vinyard Haven Ferries and Inns.
Call for more information.
NO DOGS ALLOWED IN VEHICLES.

* Required fields to be completed.
Coverage Options : Collision Damage Waiver - $14.95 per day
Additional Options : Beach Chair - $5.00 per day
Boogie Board - $5.00 per day
Car Seat - $5.00 per day
Vehicle Type: *
Personal Information  
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip Code: *
Country: *
Phone (with area code): *
E-Mail: *
Card Type :
 *
Card Number :
 *
(example - 4444333322221111)
Expiration Date :
 *
  *
Referred by :
Your Car Insurance Company: *
Date Of Birth: *
Mobile : *
Drivers License Number: *
Drivers License State: *
Drivers License Exp. Date: *
Check In Time: *
Check In Date: *
Departure Time: *
Departure Date: *
Notes :