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Name:
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Address:
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City:
Province:
Postal Code:
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Email:
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Phone:
Work:
Cell:
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Drivers License:
Vehicle:
Plate:
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Rental Dates From:
To:
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Campground:
Site
Number:
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Afternoon Pickup/Delivery
Time :
(Return Time: 10:00 AM)
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Hook Ups: Water:
Yes
No
Sewer: Yes
No
Power:
Yes
No
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No. of People: Adults:
Children:
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Please enter your Visa or Mastercard information: |
Rental
Fee:
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Credit Card Number:
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Prep Fee:
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Expiry Date:
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Accessories:
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Name on Card:
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Delivery / Pickup:
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PST 7%:
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GST 5%:
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Trailer Rented:
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Subtotal:
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Damage Deposit:
$500.00
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Total Due:
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Please Read Carefully the Terms of
Contract (page 2) and Sign and Date both pages |
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Signature:
Date:
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Page 1 - Please scroll down for
Page 2
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Please
print this form, complete and fax
to CHIPPY RV RENTALS
(250) 546-9954
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Gordon and Teresa Hood Armstrong, BC - Please Call For Address Phone: (250)546-9960, Fax: (250) 546-9954 Email: info@chippyrvrentals.com |
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Please Read Carefully - Terms of Contract |
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Page 2
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