Secured Motorhome Reservation Request Form
REQUEST RESERVATION
   PERSONAL INFORMATION
Last Name: *
First Name: *
Email Address: *
Please reconfirm your Email Address: *
Phone: *
Fax:
Address: *
City: *
State: *
Zip / Postal Code: *
Country: *
* = required information
    RENTAL INFORMATION
Destination City:
   Rental Station:
   I want to rent from:
   I like to return to:
My preferred rental dates are:
   Starting Date:    
   Return Date:    
   Total Rental Days:
Please select a Motorhome / Camper:
   1st Choice:
   2nd Choice:
Total travelers:
   Adults:
   Children:
Km / Mileage Plan:
   I prefer:
Insurance:
   Standard Insurance Included in Daily Rental Rates
   VIP Insurance (Optional)
Yes   $20.00 per Day
No
I require the following Extras: (additional charges)
   Please refer to our rate/information pages
   Convenience Kits:
   Camping Chairs:
   Toaster:
   Microwave:
   Mountain Bikes:
   Canoe Rental:
   Preparation Fee: Mandatory $65.00
   Bike Carrier: Mandatory with Bike Rental $60.00
Additional Comments & Requests:
Poll:
   How did you find us?
Are you interested to receive our destination newsletter?
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How do you rate our web site?
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I have read and understood your reservation policy.

  

Your privacy is very important to us!
All information provided are solely used for reservation purposes only.
We do not submit any information to third parties.
Privacy Policy

Important:
This is not a reservation confirmation or a reservation document !
We generally confirm a valid reservation by sending separately a
company invoice and a tour voucher once full payment has been received/guaranteed.
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