Pelham RV - Customer Info & Rental Agreement

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You should only be completing this form after you have spoken to our team and you were instructed to do so. This form is used to gather the info we need in order to process your request and reserve your space. If you have any questions please don't hesitate to ask. Thank you for choosing Pelham RV.

Email *

Type *

Please select the type of asset you wish to store?

Class A - Motorhome

Class B - Motorhome

Class C - Motorhome

5th Wheel - Camping Trailer

Bumper Pull Camping Trailer

Boat

Utility Trailer

Other:

Length *

What is the overall length (in feet) of your asset?

Year *

Make *

Model *

Tag# - State *

Tag # *

First Name *

Last Name *

Phone# 1 *

Phone# 2

Mailing Address *

City *

State *

Zipcode *

Gate Code *

Please provide us with the (6) digit number that you will be able to remember and use as your entry code for the automatic gate.

If you have a lien against this asset please provide us the name of the bank/finance company.

Would you like to list an additional person who we should contact in case of an emergency in the event that we have been unable to reach you?

Yes

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