Rental Reservation Customer-Pickup Rental Reservation Without DeliveryWant to pickup the rental equipment yourself from our shop in Nags Head?Once you submit your rental request please give us about a half hour to receive the request and make sure the equipment is ready. Don't forget you'll have to return the equipment too! Name* First Last Requested Pickup Date* Date Format: MM slash DD slash YYYY Pickup Time* : HH MM AM PM Cell Phone#*Please be sure to give us a valid cell# where we can reach you while you're in the Outer BanksEmail* Single Kayaks3 Day Rental-Single Kayak7 Day Rental-Single KayakQuantityPlease enter a number from 0 to 10.Tandem (Double) Kayaks3 Day Rental-Tandem Kayak7 Day Rental-Tandem KayakQuantityPlease enter a number from 0 to 10.Stand Up Paddle Boards (SUP)3 Day Rental-SUP7 Day Rental-SUPQuantityPlease enter a number from 0 to 10.Outer Banks Address* Street Address City Address where you're staying on the Outer BanksEquipment Return Date* Date Format: MM slash DD slash YYYY Date you'll return the equipmentReturn Time* : HH MM AM PM The estimated time you plan to return the equipmentTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Notes
