Serving Utah - Las Vegas & the Southwest
  

Canyonlands Motorhome Secure Reservation Form

All fields are required so we may complete your reservation.

   Name  
   Phone # (Required) 
   Email  (Required)     

   Motorhome Requested (Check One Only)
   
   Class C Midsize 24-26'   
Class C Slideout 24-26'    
   Class C Deluxe 27-29'    
Class C Super Slide 31'   
   Class A Luxury w/Slideout 30-36'   
   Trailer w/Popouts 19'
   Trailer 23'
   Toy Hauler 29'

   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
Smoker? Yes No
PERSONAL REFERENCE
Name 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 @ $35 ea.
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 signed. 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, 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.
Credit Card Information as shown on your billing --
Name Phone #
Address Work Phone
City State
Card Type Visa Master Card Discover American Express
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
Exp Date MM/YYYY
Reservation Deposit Amount.
Todays Date MM/DD/YYYY
By clicking the Submit button I agree to the terms above.

Go back to the previous page

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



Web Master