2017 Durango RV Rentals Application Form
RENTAL APPLICATION

A major credit card is required for an RV rental. DO NOT include your credit card information on this application. We will gather that information by phone when we contact you. Debit cards are not recommended as the funds are taken out and may not be available for upto 7 days after completion of rental. If you are renting an RV MOTORHOME, you will need an insurance binder from your car insurance company. If you are unable to do so, you do have the option of purchasing a binder through our Insurance Company. If you are renting a TRAVEL TRAILER, we will need to verify the towing capacity of your vehicle and to inquire with your insurance company that your PERSONAL policy will extend to our travel trailer.

Email address
Durango RV Rental travels - Deadhorse Canyon - Canyonlands
Re-enter email address
Your answer
Last Name
Your answer
First Name
Your answer
Birthdate
Ex. 01/15/1964
Your answer
Drivers License Number
Your answer
Drivers License Expiration Date
Your answer
Drivers License State of Issue
Your answer
Current Street Address
Your answer
City, State
Your answer
Zip Code
Your answer
Mobile Phone Number
(XXX) XXX-XXXX
Your answer
Home Phone Number
(XXX) XXX-XXXX
Your answer
Have you ever operated an RV or Large Vehicle?
Yes or No
Your answer
Which RV or travel trailer are you interested in renting?
Yes or No
Required
If you are renting the R-Pod, what is the MAKE, MODEL and YEAR of the vehicle will you be towing with?
Make, Model, Year
Your answer
Is your license suspended, revoked, or restricted?
Yes or No
Your answer
Do you have a current and up to date car insurance policy?
Yes or No
Your answer
If yes, what is the name of your car insurance carrier?
Car Insurer
Your answer
What is your car insurance policy number?
Car Insurer
Your answer
What is your car insurance carrier phone number?
Insurance Carrier Phone Number
Your answer
If you are renting the RV MOTORHOME, are you going to provide a binder from your insurance company? *This can also be purchased through Durango RV Rentals.
Yes or No
Your answer
Current Employer
Your answer
Employment Address
Your answer
Employment City
Your answer
Employment State
Your answer
Are you traveling with pets?
If yes, how many and types:
Your answer
What is your travel destination?
Travel DESTINATION
Your answer
What are your dates of travel?
Travel DATES
Your answer
List TWO Emergency Contacts phone numbers and addresses of someone NOT traveling with you
Emergency Phone and Address
Your answer
What 3 numbers are in the parenthesis above?
Security Question
Your answer
Will there be a 2nd driver?
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