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Name_________________________ Phone: (
)_____________Cell Phone #___________________ Address _______________________City
Employer ______________________Phone (
)_____________Position ______________________ Annual Household Income (
) $30,000 - $55,000 (
)
$55,000 - $80,000 ( ) $80,000 or
more Auto Make & Yr ________________License #
________________State________________________
Units are Non-Smoking /
No-Pet –
If you are a smoker, you will have to do it outside of the unit.
(
) Smoker (
) Non-Smoker
Please initial here____________.
Cancellation Policy:
All cancellations must be in writings and are subject to a $100
processing fee.
Cancellations
within 45 days prior to departure are subject to a $250 fee and all monies
collected within 30 days prior to departure are non refundable.
Please initial here___________. Insurance
required:
Most auto insurance companies extend coverage to towed vehicles.
Please verify coverage with your insurance company before renting a
travel trailer or pop up unit.
Proof
of insurance is required.
The renter
is responsible for any damage, loss of use, or other loss.
Please initial here___________. Renter or
Drivers of Tow Vehicle: Full Name of Driver #1 __________________________ Age
__________ Date of Birth____/___/____ Drivers License #
Full Name of Driver #2 __________________________ Age
__________ Date of Birth
___/___/____
The above
information is true & correct to the best of my knowledge.
I agree to pay credit card charges as noted below:
Deposit of
$250.00
(
)
Total Rental Fee (45 days or less prior to rental)
Agreement: (
) (
)Visa
(
)Master Card
(
)Discover Card
(
)Check or Money Order
Credit Card # _________________________________
Exp. Date ________/______/________
Stone Canyon Rentals
DBA of: Stone Canyon SD, LLC
(605) 440-0182
Reservation
Application
Address _______________________City
____________________State __________ Zip __________
Rental
Information:
Start ___/____/_____
Time ________am/pm End ____/____/____ Time ________am/pm
Unit _____________________________ # in Party:
Adults_________Children__________
Ever Tow a Camper Trailer Before (
) YES
( )
NO
Pick-up unit in
______Custer, SD__________ Drop-off unit in ____Custer, SD________
Destination of this Trip ______________________________________________________________
Referral By (
) Internet ( )Ad (
) Friend
Electric Brakes & Tow Vehicle Ratings:
Camper & Trailers weighing 3,000 lbs or more are required to use electric
brakes.
It is the renter’s
responsibility to have the proper brake controller unit installed on their tow
vehicle prior to the units’ departure from our rental location.
The renter is also responsible to verify that the towing vehicle has the
capacity to properly tow the trailer.
Please initial here___________.
Drivers License #
Applicant’s Signature
____________________________________
Date:________/______/_______