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ROADBEARRV.COM RV Rentals and Sales

• Los Angeles
• San Francisco
• Las Vegas
• Denver
• New York

Information Request Form

Please fill in the information request form and we will send you a detailed offer within 24 to 48 hours. Thank you for your interest in a Road Bear motorhome.

Fields in red are required.

Contact Information

Last Name: First Name: Number in party: Address: City: Country: State: Zip: Email:

Phone Numbers:

Home: Work: Fax: Cell:

Pick Up and Drop Off:

Pick Up Date: -- -- -- -- -- January February March April May June July August September October November December -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Drop Off Date: -- -- -- -- -- January February March April May June July August September October November December -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Pick-up Location

• Los Angeles / Agoura Hills
• San Francisco / Hayward
• Las Vegas
• Denver / Commerce City
• New York City / Middletown
• Other:

Drop-off Location

• Los Angeles / Agoura Hills
• San Francisco / Hayward
• Las Vegas
• Denver / Commerce City
• New York City / Middletown
• Other:

Mileage

Estimated mileage

Towing

• No
• Yes pounds

Convenience Kits:

• No
• Yes

Vehicles

• 30-32ft Class A Motorhome with slide-out
• 29-31ft Class C Motorhome with slide-out
• 26-28 ft Class C Motorhome with slide-out
• 23-25 ft Class C Motorhome non-slide

SLI Insurance

• No
• Yes

Comments

Comments:

Substitutions

If for any reason the booked vehicle should not be available, ROAD BEAR RV reserves the right to substitute a higher-rated vehicle at no additional cost. Should a lower-rated vehicle be substituted, the liability is limited to the refund of the gross rate difference of the two vehicles.

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