Reservation Form

Reservation form

Lot request#
Arrival Month/Day/Year
(3:00 pm Arrival)
Departure Month/Day/Year
(11:00 am Departure)
Monthly 1 2 3 4 5 6 (30-night-month)
Weekly (7 nights, 11:00 am Departure)
Daily (11:00 am Departure)
Requested Arrival Date:
Departure Date
(1) Last Name
First Name
(2) Last Name
First Name
Mailing Address:
City
State/Province:
Postal Code:
Telephone #:
Cell #:
Fax #
E-mail:
(3) Pets traveling with you
Dog/Cat Name Breed Weight:
Dog/Cat Name Breed Weight:

RV

Year: Type: Make:
Model: Length: Width:

Transportation Vehicle

Year: Make: Model:
State/Province & Plate # Expires:

Other Vehicles (such as motorcycle, golf cart, etc).

Type: Year: State/Province Registered & Plate # Expires:
Emergency Notification:

(Relationship to you)
Phone:
Instructions:
Please make $350.00 deposit payable to The Palms RV Resort and mail with this form and a photo of your RV and transportation vehicle to: The Palms RV Resort, 3400 S. Avenue 7E, Yuma, Arizona 85365 (telephone 928 341-4646). All rates are based on two-person occupancy; for additional occupants a charge will be assessed. Rents are consecutive usage, non-refundable and non-transferable. All reservations and/or deposits are subject to written approval of Management. Deposit refunds may be made with up to 30-day written notice, however, an administrative fee of $50.00 will be charged. In the case of applicable electricity charges, a meter fee of $1.90 and an administrative fee of $7.50 will be made. The Palms RV Resort, its employees and agents are not responsible for any accidents or injuries occurring on Resort property. I understand this and do hereby waive any rights for damages I might have for any injury/accident occurring on said Resort property and I agree to hold harmless The Palms RV Resort, its employees, agents, and assigns. I understand that there is a no smoking policy throughout the community center rooms and the pool/patio areas and I agree to abide by that policy and by the other rules and the Architectural Guidelines of The Palms RV Resort. One occupant must be at least 55 years old. You will be required to show ID upon check-in. No one under the age of 18 may stay in The Palms RV Resort other than during designated dates and times. As a condition of residency at The Palms RV Resort as either an owner or tenant, or to visit The Palms RV Resort as a guest or invitee, all such persons expressly acknowledge that photographs, video, media or other images may be taken of such persons and that such photographs, video, media or other images may be used in advertising or promotional materials for The Palms RV Resort. As a condition to residency or visitation to The Palms RV Resort all persons expressly consent to the use of any photographs, video, media or other images of such persons by The Palms RV Resort and its designated agents and representatives for advertising or promotional purposes without objection or compensation.
AdditionalComments:

 

Form Object

Terms and Conditions