GARRICK'S RV REPAIR & RV RENTALS, LLC
P. O. BOX 1049 FLORA VISTA, NM 87415
PH 505-334-1800 FAX 505-334-1475 EMAIL: GARRICKSRV@MSN.COM
Today's Date : ______ / _______ / ________ Requested Rental Date ______/______/______ thru noon on ______/______/________
Name: ____________________________________________________ Address: _________________________________________________________
City: ____________________________________________________________ State : __________________________________ Zip : _____________
Phone Number : _______________________________ Cell Number : _______________________________ Other Number : ______________________
Drivers License :______________________________________ State : __________________________ Exp. Date: _____________________________
Employer : __________________________________________________________ Work Phone Number : _____________________________________
Emergency Contact : ____________________________________________Phone Number : ________________________________________________
Is this Rental going to be DELIVERED or PICKED UP ( Please Check One )
Requested Pick Up/ Delivery Time _____________________ ( You must schedules an exact time & be on time for the pick up or delivery. If you are late, a fee of $25 per hour will be imposed)
Type of UNIT Requested: Travel Trailer Motorhome Toy Hauler (please check one )
Return hour is by 12:00 noon following the last rental night. NO EXCEPTIONS !!!!!!!
Destination ________________________________________________________________________________Space No. ________________________
( WE DO NOT make your reservations )
Estimated Mileage ____________________ No. of People in Party ________________ Any Children under age 5 ? ___________________________
Bringing any Pets ? YES or NO ( Pets are an additional one time charge of $65 ) Any Smokers ? YES or NO ( A smoking sanitation fee may apply) Do you need a Ball Mount ? Yes or NO ( 2 5/16" )
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)
Your Insurance Carrier _________________________________________________ Agents Name ____________________________________________
Policy No. ____________________________________Address________________________________________________________________________
City ___________________________________ State ____________________________________________________ Zip _______________________
A RESERVATION FEE of $ 42.53( $40 plus tax ) is required and will be deducted from the total rental price upon payment in full. Forfeiture of Reservation Fee will result in ANY cancellation fee.
( We accept VISA , MASTERCARD , DISCOVER )
Reservation Deposit Check # ____________________________or Money Order # __________________________________________________________
Credit Card # __________________________________________________________ Exp. Date _________________ CID # _______________________
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 my credit card information is held until all monies due us are paid in full.
Where did you hear about us ?___________________________________________________________________________________________________
Questions or Special Instructions/ Arrangements_________________________________________________________________________________________________________________________________________________________________________________________________________________________
If this RV is being delivered to you we need to know exactly where it is going, time of requested delivery and a contact person and phone number. Please attach map or written directions if necessary.
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please return this form with your deposit and the following information about your towing vehicle. ( A copy of your drivers license and a copy of CURRENT Insurance for the towing vehicle will be required at the time of pick up )
Year ___________ Make ______________ Model ________________ Color ________________ License Plate # ____________________ State _______
If we are unable to park the RV in your requested location or refusal of the RV for any reason upon delivery, you are still obligated to pay the reserved nights of the rental agreement in full. If you cancel within three ( 3) days of your original rental date you will be liable for the rental rate of one (1) night plus the reservation fee. If you cancel your reservation for any reason you will be liable for the cancellation fee of $ 40 plus tax.
If you need to return the unit earlier than your scheduled return date, you may do so, but your rental fees will not be refunded. Please call to make sure some one is available to check you back in.
I am of legal age and I have reviewed all of the information on this form and the website and I understand the terms and conditions of the rental procedures. I have reviewed this form in its entirety and find it correct, current and agreeable to me.
Signed ______________________________________________________ Date ____ / _____ / _____ Daytime Phone # ___________________________
