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604 625 4443

 

 

FROM

Fax #

Name

 

Address

 

City,   State/Prov

 

Zip/Postal

 

Cell Phone

 

e-mail

 

Arrival date, Length of Stay

Day                     Month                      Year                           #Days

Amp Service (check box)

50Amp 1         30Amp 1

Type of RV (Check box)

5th Wheel1 Travel Trailer1   Class A Motorhome1    Van Conversion1  Class C Motorhome 1  Truck/Camper1   Tent Trailer1   

Length of Unit (feet)

 

Credit card

Visa1          Mastercard1          American Express1

Card Number

 

Expiry Date

Month                       Year

Good Sam Member?

Member #                                   Expiry Date

Pets? Brief description & breed

 

Is Satelite TV reception important?

 

Comments/Requests