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Corona Coupon Magazine
Out 2 RV
Last Name, First and M.I.
District of Columbia
Prince Edward Island
Zip / Postal Code
Antigua and Barbuda
Bosnia and Herzegowina
British Indian Ocean Terr.
Central African Republic
Cocos (Keeling) Islands
French Southern Terr.
Heard & McDonald Is.
Lao People's Dem. Rep.
Libyan Arab Jamahiriya
Northern Mariana Is.
Papua New Guinea
Saint Kitts and Nevis
St. Vincent & Grenadines
Sao Tome & Principe
Slovakia (Slovak Republic)
S.Georgia & S.Sandwich Is.
St. Pierre & Miquelon
Svalbard & Jan Mayen Is.
Syrian Arab Republic
Trinidad and Tobago
Turks & Caicos Islands
United Arab Emirates
U.S. Minor Outlying Is.
Vatican (Holy See)
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis & Futuna Is.
Number in party
23' GREY WOLF TRAVEL TRAILER FORREST RIVER GREY WOLF
27 VORTEX TRAVEL TRAILER 2011
28' ENERGY KEYSTONE
32' NORTH TRAIL TRAVEL TRAILER HEARTLAND NORTH TRAIL
34' GULF STREAM GULF STREAM ENDURA
A 30 ACE 30' THOR ACE 2016
A 34 BOUNDER-DIESEL 34' BOUNDER DIESEL 2007
A 34 FIESTA 34' BUNKHOUSE 2008
A 35 G.TOWN #1 35' GEORGETOWN #1 2007
A 35 G.TOWN #3 35 GEORGETOWN #3 2008
A 35 G.TOWN #4 35 GEORGETOWN #4 2006
A 35' ARISTA BUNKHOUSE HOLIDAY RAMBLER ARISTA
A 36 FOREST RIVER GTOWN W/GARAGE GARAGE GTOWN
A 38 DIPLOMAT 38' MONACO 2005
A 38' WINNSPORT 35' BUNKHOUSE 2010
A 39 EXCURSION 39' EXCURSION 2007
A 40 TUSCANY #1 40' TUSCANY 2007
A 43 DUTCHSTAR 43' DUTCHSTAR 2007
C 22' THOR CHATEAU THOR CHATEAU
C 23' DUTCHMAN DUTCHMAN
C 26 FREELANDER 26' FREELANDER 2007
C 29 DUTCHMEN 29' DUTCHMEN 2007
C 31 JAMBOREE #4 31' JAMBOREE #4 2007
C 31 JAMBOREE GT 31' FLEETWOOD JAMBOREE GT
C 31 OUTLOOK 31' OUTLOOK 2007
C 32 GREYHAWK 32' GREYHAWK 2007
D TH 19' GENESIS TOYHAULER 19' GENESIS 2016
D TH 23' REDLINE TOYHAULER 23' REDLINE 2007
D TH 26' ATTITUDE TOYHAULER 26' ATTITUDE 2006
D TH 26' VORTEX TOYHAULER 26' VORTEX 2009
D TH 28' SIERRA SPORT TOYHAULER SIERRA SIERRA
D TT 19' KEYSTONE CABANA HYBRID TRAVEL TRAILER CABANA HYBRID KEYSTONE
D TT 21' KEYSTONE SPRINGDALE TRAVEL TRAILER SPRINGDALE KEYSTONE
D TT 21' SPRINGDALE TRAVEL TRAILER 21' SPRINGDALE 2013
D TT 27' TRAILSPORT TRAVEL TRAILER 27' TRAILSPORT 2010
D TT 27' WILDWOOD TRAVEL TRAILER 27' WILDWOOD 2010
D TT 28' LAYTON TRAVEL TRAILER 28' SKYLINE 2008
D TT 30' KINGSPORT TRAVEL TRAILER 30' KINGSPORT 2009
D TT 30' TRAIL RUNNER TRAVEL TRAILER 27' TRAIL RUNNER 2011
R TERYX-GREEN TERYX 4-SEATER 2012
R TERYX-WHITE TERYX 4-SEATER 2012
T TRAILER 12' 12 x 6.5 QUAD TRAILER 2007
T TRAILER 12' 12 x 6.5 QUAD TRAILER 2007
T TRAILER 16' 16 x 6.5 QUAD TRAILER 2009
Insur. Co, Phone # & Policy #
Driver License #
Renter's Employment Information
Employer's Address / City / Zip
(Optional) Fill out only when renting a Trailer/Toy Hauler
Year & Make of Tow Vehicle
Vehicle License #
Credit Card Information (Booking will not be complete without this)
Credit Card Type
Credit Card Number
Name on Card
01 02 03 04 05 06 07 08 09 10 11 12
2017 2018 2019 2020 2021 2022 2023 2024 2025 2026
Quote number or additional notes
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Terms and Agreement
You must read the Terms and Conditions Agreement below, check all the boxes contained within this document signifying that you have read and agree to each item, select "I AGREE" and then click the "Submit" button.
Please read these agreement carefully
From the date of your reservation to within 60 days prior to your pick-up date, Corona Motorhome Rentals Inc will refund your down payment less a $100 charge. If you cancel within 30 days of your scheduled departure, for any reason, NO DEPOSIT REFUND will be given but can be used towards future rentals. If you cancel your booking for any rentals between the dates of June 15 - Sept 15 or time periods involving any holidays the entire rental amount will become due and a credit for a future rental will be given. Bookings that do not show up also adhere to above terms.
The person named on the RESERVATION APPLICATION must be 25 years of age and is the ONLY person authorized to sign our rental agreement and drive the vehicle off our lot.
Corona Motorhome Rentals Inc. reserves the right to substitute a vehicle of equal or greater value, or refund your $250 down payment due to unavailability of the vehicle.
NO REFUND will be issued if you return the motor home prior to your scheduled return date or fail to show up on your scheduled departure date.
Travel to Mexico, Alaska, on beaches and/or logging roads, the Apache Trail in Arizona, and any area where telecommunications are NOT available is strictly prohibited at all times. Travel to Death Valley is prohibited from May 1 thru October 31.
Smoking is prohibited at all times in our rental units.
Pets and/or Towing of any type is prohibited unless approved prior to pick up and an additional fee is paid.
On lot, overnight parking is NOT guaranteed but is usually obtainable.
Generally, all vehicles will be available for pick up only after 1:00 PM and any departure available by 4:00 PM is considered on time.
VEHICLES MUST BE RETURNED PRIOR TO 11:00 AM. If the vehicle is returned AFTER 11:00 A.M. A $25.00 PER HOUR late charges will be assessed.
All departures and returns are at our Corona/Norco location.
Any additional drivers must have a clean driving record, be at least 25 years old, and be present at the time of departure with their valid driver`s license, with picture, available.
RVs are not allowed to attend the "Burning Man" event. In the event it is found that an RV has traveled there and proof is obtained via either condition of the RV and/or GPS records, you will be charged 3 times the nightly rental of what is on your contact and your $1000.00 security deposit will be forfeited.
STATEMENT OF CONSENT
I have read, understand, and agree with all of the conditions on this RESERVATION APPLICATION and all the information I have given is true and correct. I understand that you will perform an investigation on me and I hereby authorize you to receive information on me and driving record from others. The credit card I have given is issued in my name with the billing address the same as listed on this application. I understand that based on your investigation, you may at your discretion, require an additional credit deposit. I also authorize Corona Motorhome Rentals Inc. to charge my credit card listed on this application and have read and understand that all or part of that fee may be retained by Corona Motorhome Rentals Inc. in the event of cancellation according to the Cancellation Policy stated above.