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Corona Coupon Magazine
Out 2 RV
Last Name, First and M.I.
District of Columbia
Prince Edward Island
Zip / Postal Code
Antigua and Barbuda
Bosnia and Herzegowina
British Indian Ocean Terr.
Central African Republic
Cocos (Keeling) Islands
French Southern Terr.
Heard & McDonald Is.
Lao People's Dem. Rep.
Libyan Arab Jamahiriya
Northern Mariana Is.
Papua New Guinea
Saint Kitts and Nevis
St. Vincent & Grenadines
Sao Tome & Principe
Slovakia (Slovak Republic)
S.Georgia & S.Sandwich Is.
St. Pierre & Miquelon
Svalbard & Jan Mayen Is.
Syrian Arab Republic
Trinidad and Tobago
Turks & Caicos Islands
United Arab Emirates
U.S. Minor Outlying Is.
Vatican (Holy See)
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Number in party
A 34 BOUNDER-DIESEL 34' BOUNDER DIESEL 2007
A 35 G.TOWN #1 35' GEORGETOWN #1 2007
A 35' MAGELLAN FOURWINDS MAGELLAN
A 36 FOREST RIVER GTOWN W/GARAGE GARAGE GTOWN
C 23 FREELANDER Coachmen Freelander
C 26' LEPRECHAUN LEPRECHAUN COACHMEN
C 29 DUTCHMEN 29' DUTCHMEN 2007
C 33' Bounder Fleetwood Bounder
D TT 19' HIDEOUT KEYSTONE HIDEOUT
D TT 24' WANDERER WANDERER
D TT 27' Bullet Travel Trailer Keystone Bullet
D TT 27' TRAILSPORT TRAVEL TRAILER 27' TRAILSPORT 2010
D TT 28' JAYFLIGHT Jayco Jayflight Travel Trailer
Insur. Co, Phone # & Policy #
Driver License #
Renter's Employment Information
Employer's Address / City / Zip
(Optional) Fill out only when renting a Trailer/Toy Hauler
Year & Make of Tow Vehicle
Vehicle License #
Credit Card Information (Booking will not be complete without this)
Credit Card Type
Credit Card Number
Name on Card
01 02 03 04 05 06 07 08 09 10 11 12
2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
Quote number or additional notes
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Terms and Agreement
You must read the Terms and Conditions Agreement below, check all the boxes contained within this document signifying that you have read and agree to each item, select "I AGREE" and then click the "Submit" button.
Please read these agreement carefully
From the date of your reservation to within 60 days prior to your pick-up date, West Coast RV, Inc. will refund your down payment less a $100 charge. If you cancel within 30 days of your scheduled departure, for any reason, NO DEPOSIT REFUND will be given but can be used towards future rentals. If you cancel your booking for any rentals between the dates of June 15 - Sept 15 or time periods involving any holidays the entire rental amount will become due and a credit for a future rental will be given. Bookings that do not show up also adhere to above terms.
The person named on the RESERVATION APPLICATION must be 25 years of age and is the ONLY person authorized to sign our rental agreement and drive the vehicle off our lot.
West Coast RV, Inc. reserves the right to substitute a vehicle of equal or greater value, or refund your $250 down payment due to unavailability of the vehicle.
NO REFUND will be issued if you return the motor home prior to your scheduled return date or fail to show up on your scheduled departure date.
Travel to Mexico, Alaska, on beaches and/or logging roads, the Apache Trail in Arizona, and any area where telecommunications are NOT available is strictly prohibited at all times. Travel to Death Valley is prohibited from May 1 thru October 31.
Smoking is prohibited at all times in our rental units.
Pets and/or Towing of any type is prohibited unless approved prior to pick up and an additional fee is paid.
On lot, overnight parking is NOT guaranteed but is usually obtainable.
Generally, all vehicles will be available for pick up only after 1:00 PM and any departure available by 4:00 PM is considered on time.
VEHICLES MUST BE RETURNED PRIOR TO 11:00 AM. If the vehicle is returned AFTER 11:00 A.M. A $25.00 PER HOUR late charges will be assessed.
All departures and returns are at our Corona/Norco location.
Any additional drivers must have a clean driving record, be at least 25 years old, and be present at the time of departure with their valid driver`s license, with picture, available.
RVs are not allowed to attend the "Burning Man" event. In the event it is found that an RV has traveled there and proof is obtained via either condition of the RV and/or GPS records, you will be charged 3 times the nightly rental of what is on your contact and your $1000.00 security deposit will be forfeited.
STATEMENT OF CONSENT
I have read, understand, and agree with all of the conditions on this RESERVATION APPLICATION and all the information I have given is true and correct. I understand that you will perform an investigation on me and I hereby authorize you to receive information on me and driving record from others. The credit card I have given is issued in my name with the billing address the same as listed on this application. I understand that based on your investigation, you may at your discretion, require an additional credit deposit. I also authorize West Coast RV, Inc. to charge my credit card listed on this application and have read and understand that all or part of that fee may be retained by West Coast RV, Inc. in the event of cancellation according to the Cancellation Policy stated above.