Must meet 25years of age requirement 
              
             
          
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Name
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Phone
              
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                    (###) 
                   
                
                
                  
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              Number of Nights
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Campsite/Property amenities you will have access to
              
             
          
                Select all that apply
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              Start Date
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How many adults/children do you need to accommodate?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Camper Preference
              
             
          
                *Weekly discount available*
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Will you be towing the camper?
              
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                (Camper Express Inc will supply the hitch and sway control for towing) 
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Please select where to for delivery by Camper Express Inc. 
              
             
          
                *Local Delivery includes anywhere as far as Wheatley*
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Location for Delivery
              
             
          
                Please indicate campground or address for camper delivery by Camper Express Inc.  
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If you intend to tow, do you have towing experience? 
              
             
          
                Please describe in detail towing experience- you must have at least 1 years towing experience. 
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If you intend to tow, please indicate vehicle & towing capacity.
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If you intend to tow, does your vehicle have a break control? 
              
             
          
                (By law, any vehicle towing over 3000lbs requires a break control, Camper Express Inc. does offer one in our add on section if needed!) 
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Camper Express Inc. Add-on items
              
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                (Add on items are based on availability) 
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Camper Insurance
              
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                By checking this box, I understand Camper Express Inc. has a ONE TIME insurance fee $85.00 
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Holiday Weekends
              
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                By checking this box, I understand that Camper Express Inc. has a 3 night minimum for holiday weekends and rates are an additional $20 per night.
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Damage Deposit
              
                * 
              
             
          
                By checking this box, I understand Camper Express Inc. has a damage deposit of $500. (Visa Debits are not accepted) 
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Reservation Request
              
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                By checking this box, I understand that this form is a RESERVATION REQUEST ONLY and does not confirm a camper. Camper Express Inc. will be in touch to confirm the details of your request. Please check your spam folder if you do not see a reply within 1 business day.
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Message our team! 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
         
      
      
      
      Thank you for your inquiry! We will review your submission and reply as soon as possible:) 
Please be sure to check your spam folder!