RV RENTAL RESERVATION FORM

Complete our convenient online reservations form and we will contact you promptly with further information.

Your Details
Your Name:
Phone Number:
Fax Number:
Email Address:
	(Email address must be completed for further internet communication)
Your Address
Address:
City:
State/Province:
Zip Code:
Country:

Employer Information
Employer:
How Long?
Employer Phone:
Employer Address:
City:
State/Province	Zip Code:

Your Insurance Info
	Insurance can be purchased from us @ $15.00 per day or you may retain a binder from your insurance Co. (our VIN # is: 1FOPE2hh83NA88491).
Your Auto Insurance:
Policy No.
Phone/Agent:

Auto Make & Model No. (if leaving it here):

	Evidence of insurance policy required showing Economy RV Rentals as being covered on your policy. (Required 2 weeks before rental period).
Trip Information
Destination/Travel Route:
Estimated Travel Miles:
Travel Dates:
No. of People in your party:	Adults: Children:

Driver Information
	Renters and drivers must have a valid drivers license and credit card
Full Name of Driver/Renter:
Age:
Date of Birth:
Driver License No:
State/Province/Country:
Exp Date:
Full Name of Driver No. 2:
Age of Driver No 2:
Date of Birth:
Driver Lic. No:
Exp Date:
Trip Options
	Select any of the options you want by indicating quantity or checking the appropriate box (Scroll down to skip options and send)
XM Satellite Radio $35.00 per trip:
TV & DVD Player $40.00 per trip:
Ground Positioning System (GPS) $50.00 per trip:
Folding Chairs: $5.00 each per trip:
Child Seat: $20.00 per trip:
Bar-b-que: $20.00 per trip:
Porto-potty: $25.00 per trip:
Solar Shower (5 gal.) $5.00 per trip
Sleeping Bags Available for Sale Only $28.00 each:
Large Rear Storage Rack: $25.00 per trip: additional week.
Bike Rack (4): $25.00 per trip:
How did you hear about us? We'd like to know:

Send to: ECONOMY RV RENTALS

Credit Card and additional driver information must be given in person or via phone/fax or this electronic Reservation Information Form.

Congratulations, you are 1 step closer to your California Reservation. On the next page you will have the opportunity to make a deposit through PayPal.