We have had to enlarge this form in order for it to be legible when faxed so it will now print onto two pages.   PLEASE PRINT LEGIBLE

         

              Physical Address:  119 C.R. 3566 Flora Vista , NM 87415

               MailingAddress:  P.O. Box 1049 Flora Vista, NM 87415 

 

                          PH   505-334-1800  FAX 505-334-1475

 

 

 

 

Todays Date ________________________ 

 

 

Name _________________________________________Address________________________

 

City __________________________State____________________Zip_____________________

 

Phone_______________________Cell Number ______________________________________

 

Driver License # ______________________State__________Exp.Date____________________

 

Employer_______________________________Work #_______________________________

 

Emergency Contact _____________________________Phone #________________________

 

 

Pick Up / Delivery Date __________________Return By Noon __________________________

 

Requested Pick Up/ Delivery Time _______________( You must schedule an exact time and be

 

on time for pick up or delivery. If you are late, a fee of $25 per hour will be imposed) __________

 

(Initial that you understand)

 

Type of UNIT Requested: Travel Trailer _____Motorhome _______ Toy Hauler __________

 

Return hour is by 12:00 NOON following the last rental night. NO EXCEPTIONS. ___________

 

(Initial Here)

 

Destination __________________________________________Space NO.________________

 

( We DO NOT make your Space Reservations)

 

Estimated Mileage_________No. of People in party _______Children under age 5 ? ________

 

Pets ? ____( Pet sanitation fee may apply ) Smoker ? ______Smoking Sanitation Fee may Apply) 

 

Ball Mount Needed? ____________  (2  5/16" trailers ) ( 2" Pop Ups) 

 

If you are towing this unit you are required to list your Insurance Company and inform them of your intent to tow a rented RV. Insurance will be verified. ( Additional Liability Insurance is available. Ask about  Million Dollar Insurance Flyer)

 

Your Insurance Carrier_________________________________________________________

 

Policy No. _________________________________Address____________________________

 

City _____________________State __________ Zip _______Phone # ___________________

 

  

 

  

 

 

 

RESERVATION FEE of $42.48 ( $40 plus tax ) is required and will be deducted form the total

 

rental price upon payment in full.    Forfeiture of Reservation Fee will result an ANY cancellation.   

 

 

( WE accept VISA, MASTERCARD, DISCOVER)         Reservation Deposit   Check # _________ or

 

Credit Card # ___________________________________________Exp.date_________________________

 

CID # _________ ( 3 digit number on back of card)

 

Your signature on this form permits us to process a credit card voucher in your name for all

 

charges due us under this agreement. I agree that my credit card information is held until are

 

monies due us are paid in full.

 

 

Where Did You Hear About Us ? ________________________________________________________________________________________

 

Questions or Special Instructions/Arrangements____________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

Please return this form with your Deposit, copy of Drivers License & copy of Insurance for the Towing Vehicle

 

 

If We are unable to park the RV in your requested location or refusal of RV for any reason upon

 

delivery or you cancel within 10 days of your original rental date, you the renter, will be liable for

 

the rental agreement amount in full. ________ ( Inital here) 

 

 

I AM OF LEGAL AGE  & I HAVE REVIEWED ALL OF  THE INFORMATION ON THE

 

WEBSITE & I UNDERSTAND THE TERMS & CONDITIONS OF THE RENTAL

 

PROCEDURES. I HAVE REVIEWED THIS FORM IN IT'S ENTIRETY & FIND

 

IT CORRECT, CURRENT & AGREEABLE TO ME.

 

 

Signed________________________________ Date_________________________

 

Daytime Phone #_________________________________________________