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

 

 

 PLEASE PRINT LEGIBLE                                 Todays Date __________________________ 

 

 

Name _________________________________________Address_________________________________________

 

City ___________________________________________State____________________Zip_____________________

 

Phone___________________________Other ______________________Cell Number__________________________

 

Driver License # ___________________________State________________Exp.Date___________________________

 

Employer__________________________________________________Work #_______________________________

 

Emergency Contact ________________________________________________Phone #________________________

 

 Is this Rental going to be  DELIVERED   or  PICKED UP  ( please Circle one choice)

 

Pick Up or Delivery Date ______________________________Return Date ( By Noon)  __________________________

 

Requested Pick Up or Delivery Time _______________( You must schedule an exact time & be on time for pick up or delivery. If you are late, a fee of $25 per hour will be imposed) ____ (Initial Here that you understand)

 

Type of UNIT Requested: _____Travel Trailer _____Motorhome _____ Toy Hauler  ( Please Circle One Choice)

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 ____________ Any Children under age 5 ?   Yes  or  NO  

 

Bringing any Pets ? YES  or NO   ( Pets are and additional $65 one time fee)  Smoker ? YES or NO ( a Smoking

 

Sanitation Fee may Apply)   Do you need a Ball Mount ? YES or NO  (2  5/16" trailers )

 

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 Money Order #  _____________________________________ 

 

Credit Card # __________________________________Exp.date________CID # _________ ( 3 digit #  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__________________________________________________________________

 

 _______________________________________________________________________________________________

 

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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 a map or written directions if necessary.

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Please return this form with your Deposit and the following information about your towing vehicle.A  copy of Drivers

License & 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 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 other reason you will be liable for the cancellation fee of $40 plus tax. ________ ( Inital here) 

 

If you need to return the rented 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 in.

 

 

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 #___________________