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RV Rental Application

YOU MUST COMPLETE ALL FIELDS IN ORDER TO SUBMIT A VALID RV RENTAL APPLICATION.

Note: This is not a secure page, if you prefer, call toll free 1-888-973-3282 or fax 1-520-623-9682 your information. Or send us an email: contact us.
   
Name:
Home Phone:
Home Address:
Years At Residence:
City, State, Zip:
Destination:
Date Of Birth:
Present Employer:
Work Phone:
Address:
Years With Firm:
City, State, Zip:
Year Of Personal Vehicle:
Make Of Personal Vehicle:
Plate # Of Personal Vehicle:
List All Moving Violations In The Past Three Years:
 
List Two Closest Relatives Not Living Or Traveling With You:
   
Name:
Address:
Phone:
Reference Date:
Checked Emp. Int.:
Name:
Address:
Phone:
Reference Date:
Checked Emp. Int.:
 
List Two Closest Friends Not Living Or Traveling With You:
   
Name:
Address:
Phone:
Reference Date:
Name:
Address:
Phone:
Reference Date:
   
FOR OFFICE USE ONLY
Date Booked:
Rental Agent's Name:
Date Deposit Received:
Form Of Deposit:
Unit Reserved:
Dates Reserved For:
To:
   
Note: This is not a secure site, if you prefer, call toll free 1-888-973-3282 or fax 1-520-623-9682 your information. Or send us an email: contact us.
   
I, THE CUSTOMER, BY SUBMITTING THIS FORM CERTIFY THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND CORRECT AND ARE TO BE RELIED UPON BY PEDATA RV AND ARE MADE TO INDUCE PEDATA RV TO RENT TO CUSTOMER. I, THE UNDERSIGNED AUTHORIZE PEDATA RV TO VERIFY EMPLOYMENT HISTORY, CHECK ALL REFERENCES AND CHARGE MY CREDIT CARD A RESERVATION DEPOSIT OF $300.00 FOR A TRAVEL TRAILER OR $500 FOR A MOTORHOME. I UNDERSTAND THAT IF I CANCEL THIS RESERVATION LEAVING PEDATA RV LESS THAN 7 DAYS NOTICE PRIOR TO THE DEPARTURE DATE, THIS RESERVATION IS COMPLETELY NON-REFUNDABLE AND IF I CANCEL WITHIN 8-30 DAYS PRIOR TO THE DEPARTURE DATE $100.00 IS COMPLETELY NON-REFUNDABLE.
   
I, THE CUSTOMER, BY SUBMITTING THIS FORM AGREE AND ACCEPT ALL THE TERMS AND CONDITIONS LISTED ABOVE, I ALSO ACKNOWLEDGE THAT I AM RESPONSIBLE FOR PROVIDING MY OWN INSURANCE OR OBTAINING INSURANCE FROM PEDATA RV CENTER IN ADDITION TO THE RV RENTAL FEE.
   

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Pedata RV works very hard to make sure all information provided on this website is accurate; however, different products, descriptions, promotion programs and services may change at any time from those on this site. All of our prices listed on this site are subject to change without notice and do not include tax and applicable fees. All technical data, product information, program information, photographs and illustrations are intended to be useful information available to Pedata RV at time of posting and are subject to change without notice.

To verify current information, call Toll Free 888-545-8314 or 520-807-0900
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