Canyonlands RV Rentals Secure Reservation Form

Canyonlands Motorhome Secure Reservation Form

Name
Phone #(Required)
Email #(Required)
Motorhome Requested (Check One Only)

Class C Midsize Slideout 24'
Class C Midsize Slideout 26'
Class C Deluxe 27-29'
Class C Super Slide 31'
Class A Luxury w/3 Slideouts 35'
Trailer w/Popouts 18'
Trailer 21' rear slideout w/ Queen Bed
Trailer 23' rear slideout w/ Queen Bed
Trailer 25' rear slideout w/ Queen Bed
Trailer 27' w/ Slideout

Pickup Date (mm/dd/yy)Mon-Sat 9:00 AM - 5:00 PM
Return Date(mm/dd/yy)Mon-Sat 9:00 AM - 11:00 AM
Comments or Questions:

Fax Number
Cell Number
Address
City
State
Zip code
Auto Ins Co.
Agent
Phone
Home Ph.
Work Ph.
Address
City
State
Zip

TRIP INFORMATION

Depart

MM/DD/YY Time AM PM

Return

MM/DD/YY Time AM PM
# In Party #Adults #Children
HouseKit @ $45 ea.

Vehicle Rental Liability Insurance - SLI $12.95 per day
Personal Accident Coverage/Personal Property Coverage - $11.00 per day
Collision Damage Waiver - $20.00 per day
Discount for Combined Package - $32.00 per day

Collision Damage Waiver (Offered on Trailers Only) - $14.00 per day

Pickup City/St
Drop-off City/St
Destination
Est. Miles
Ever Driven a Motohome? Yes No

Referral Source

Website
Friend
Newspaper
Magazine
Repeat
Special Request

FLIGHT INFORMATION

Arrive
MM/DD/YY Time
Airport
Airline/Flt
Return
MM/DD/YY Time
Airport
Airline/Flt
Hotel

AUTHORIZED DRIVERS

#1 Full Name
Age
Birth Date
Liccense # St.
Exp Date
#2 Full Name
Age
Birth Date
Liccense # St.
Exp Date
The above informationis true and correct to the best of my knowledge. Yes. No.

RESERVATION DEPOSIT

It is necessary for this authorization to be read and agreed to by checking the "I agree" box below. Return by e-mail or fax to confirm the services to be charged to your credit card. Whether you are using a credit card or not, an open credit card authorization is taken for all rentals. Please have your credit card available at time of departure. Canyonlands will not charge your credit card unless damages are present when you return the RV or an accident occurs to cover the insurance deductible that over exceeds the $500.00 Security Deposit for Class C Motorome or Travel Trailer, (Class A Motorhomes $1000 deposit) or other costs that exceed the security deposit relating to your RV rental, or excess mileage, gas, propane, or cleaning if the RV is not returned in a clean condition as you received it. Be aware that the reservation deposit of $ 300.00 is not refundable, if rental is canceled 30 days or less prior to departure date. All cancellations are charged $100.00 cancellation fee.

By submitting this form, I have read and agree to the terms of this policy, as well as the travel policy found at https://utahmotorhomerentals.com/fax.html

Credit Card Information as shown on your billing --

Name
Phone #
Address
Work Phone
City
State

Card Type

Visa
Master Card
Discover
I authorize Canyonlands RV Rentals, Inc. to charge my credit card for the reservation deposit only, before departure, unless otherwise authorized by the customer.
Card Number
CID/CSC # (Back of Card) Required
Exp Date MM/YYYY
Reservation Deposit Amount.
Todays Date MM/DD/YYYY

By clicking the Submit button I agree to the terms above & have read and agree to the Policy below.

Click here to view the Travel Policy
Canyonlands RV Rentals

58 North 700 East
Just off St George Blvd -
Behind the Maverick Store
St. George, UT 84770

For reservations call

1-800-597-3370
Fax 1-435-6743612

Hours 9 am to 5 pm Monday - Saturday
Before or after hours 1-435-229-2746

Email

Serving your RV vacations since 1997
All material copyright protected

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