Mann's RV			TRAILER RESERVATION APPLICATION			RA#:  ________     CUST#: ________
		(508) 886-4745 Phone  (508) 886-0207 Fax
Date:		Unit:		Quote:		Mileage/Nights:
Applicant's Name:					Home Phone #:
Address:					Cell Phone #:
City/State:			Zip Code:		Fax #:
Driver's Lic. No.:			State:		DOB:		Lic. Expires:
Insurance Co.:					Social Security No.:
Applicant's Email Address:
Any motor vehicle violations, suspensions, accidents in past three years?     YES         NO
If so, please describe:
Employer:					Phone No.:
Emergency Contact:					Phone No.:
Are you a previous rentor?   YES     NO    If not, how did you hear about us?
If Mann's will be delivering:    Destination:						Site#:
If planning to TOW unit please complete the following tow vehicle information:
Year:		Make:		Model:
2" Ball:	YES	NO			Type Wiring Harness:
Brake Control:           YES			NO		(Only required for travel		trailer rentals)
This tow vehicle MUST be inspected by our service department at least two weeks prior to pick up.
Failure to have vehicle inspected may result in the cancellation of your rental reservation.
Applicant MUST provide insurance binder indicating liability coverage on unit while in tow.
Credit Card MC/V/DIS		Card No.:					Exp. Date
Name as it appears on Card:							CCID#
Requested Dates		From:		To:
Destination:				Round Trip Mileage:
Desired Unit:				No. of Occupants:		Adults		Children
Special Requests:
Are you interested in our Responsibility Reduction Waiver at $19.95/day?      YES      NO      UNSURE
If approved your reservation prepayment of, $500 for rentals totaling $750 or more/$250 for rentals totaling less than $750,
which is NON-REFUNDABLE will be charged to the credit card listed above, unless other payment arrangements have been made.
A reservation cannot be processed without the reservation prepayment, this will be applied towards the total rental charges.
On the day of departure you will be required to provide a security deposit of, $350.00 for Aliners & $800.00 for Travel Trailers,
CASH or MONEY ORDER ONLY! Refundable within 14 days of return provided vehicle is in the same condition as at pick up.
Pick up times are after 1:00pm and return times are 10:00am SHARP.
All information will be verified via a credit check. Applicant and additional drivers must be 25 years of age.
Applicant's Signature:						Date:
This is an application only and does not constitute a reservation or contract.  The person listed above
must be present at time of pick up.   By signing this form you have read and been given the opportunity
to ask questions regarding the terms and conditions on the reverse side of this form.									rev. 05/06