How did you hear about us?
Choose One...
Drive By
Referral
Link
Google
Yahoo
MSN
Corona Coupon Magazine
Show
Giant RV
Out 2 RV
Outside Salesman
Previous Renter
Itex
Truck Ad
Other
Last Name, First and M.I. *
Street Address *
City *
State *
Choose One...
Other
STATES
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
PROVINCES
Alberta
British Columbia
Manitoba
New Brunswick
New Foundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip / Postal Code *
Country
United States
Canada
Mexico
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Terr.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands/Malvinas
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Is.
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao People's Dem. Rep.
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Is.
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
St. Vincent & Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
S.Georgia & S.Sandwich Is.
Spain
Sri Lanka
St. Helena
St. Pierre & Miquelon
Sudan
Suriname
Svalbard & Jan Mayen Is.
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
U.S. Minor Outlying Is.
Uruguay
Uzbekistan
Vanuatu
Vatican (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Cell Phone *
Work Phone *
Home Phone
Email Address *
Date Needed *
To
Number in party *
Preferred Vehicle *
choose One
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
Destination *
Insur. Co, Phone # & Policy # *
Driver License # *
Expiration Date *
Renter's Employment Information
Employer *
Employer's Phone *
Employer's Address / City / Zip *
Years Employeed *
(Optional) Fill out only when renting a Trailer/Toy Hauler
Year & Make of Tow Vehicle
Model
Vehicle License #
Policy #
Agent Name
Phone #
Credit Card Information (Booking will not be complete without this)
Credit Card Type *
Visa
Mastercard
Discover
Amex
Credit Card Number *
Name on Card *
Expiration Date *
01 02 03 04 05 06 07 08 09 10 11 12
2021 2022 2023 2024 2025 2026 2027 2028 2029 2030
CVC # *
Additional Information
Nearest Relative *
Quote number or additional notes *
Phone Number *
Enter Code Above *
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
CANCELLATION
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.
IMPORTANT INFORMATION
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.