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Rental Request Form
* indicates required fields

Contact Information

First Name *
Phone *
Cell Phone
Fax
E-mail Address *

Billing Address

Address 1
Address 2
City
State
Zip/Postal Code

Event Information

Event Name
Address 1
Address 2
City
State
Zip/Postal Code
County Event is Located
Rental Dates   Start Date
    End Date
Total # of Rental Days
Delivery Date
Pick-up Date

Equipment Information

Golf Cars

NOTE: Enter quantity needed for each car type or leave at "0".

2-Passenger 4-Passenger
2-Passenger w/Cargo  Bed
4-Passenger/Flip 6-Passenger
Workhorse Flatbed
Wheelchair Ambulance
Please Specify if you MUST have electric carts Electric   Gas
Total # of Golf Cars
Accessories Needed: Sun Tops:         Yes  No  If Available
  Windshields:      Yes  No  If Available
  Enclosures:     Yes  No  If Available
How did you hear about us? Search Engine (i.e. Google, Bing, Yahoo....)
Another Web Site
Business Associate
From a VGC Customer
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Comments:

 
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Financing thru Sheffield Newer EZ-GO Golf Cars


  
Any Make New and Used Cars

Virginia Golf Cars, Inc.
4445 Early Road, Harrisonburg, VA 22801
Tel:  540-433-7881       Fax:  540-433-1057
Toll Free: 888-853-7746

 
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Map of Location