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RV MODEL
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#219582 - 2021 KEYSTONE HIDEOUT 26 BHWE
#244463 - 2017 JAYCO SLX BAJA 175RD
#260963 - 2020 FOREST RIVER CHEROKEE WOLFPUP
#265398 - 2022 KEYSTONE HIDEOUT 175 BH
#265416 - 2022 KEYSTONE HIDEOUT 176 BH
#267789 - 2020 KEYSTONE PASSPORT 292 BHWE
#277217 - 2021 Open Range Bunk House
#259742 - 2020 Lance 2185
#292396 - 2014 Keystone Cougar Half-Ton
RETURN DATE
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+
WASTE TANKS
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EMPTIED
PARTIAL
FULL
PROPANE
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EMPTIED
PARTIAL
FULL
AWNING STATUS
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FUNCTIONAL
DISABLED
DAMAGED
UNIT INTERIOR CLEAN STATUS
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CLEANED- (NO FEE)
NORMAL WEAR - NOT CLEANED (MIN $150.00 FEE)
ABNORMAL WEAR - NOT CLEANED (MIN $300.00 FEE)
UNIT EXTERIOR CLEAN STATUS
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CLEANED (NO FEE)
NORMAL USE ($150)
NOT CLEANED - ABNORMAL USE ($400 FEE)
LIST ANY DAMAGE HERE.
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UPLOAD POST-TRIP PHOTOS (MAX OF 10 FILES)
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First Name
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Last Name
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Street Address
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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CUSTOMER SIGNATURE CONFIRMS ALL PROVIDED INFORMATION IS TRUE TO AT THE TIME OF RETURN TO THE BEST OF THEIR KNOWLEDGE.
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