Extended Stay Application

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Settler's Point Luxury RV Resort

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Month Stay Application

The current monthly rate at Settlers Point Luxury RV Resorts monthly Rate is $995 plus electric. Please fill out the application and we will contact you ASAP if we have availability.

Your Personal Information

Your Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Phone Number(Required)

Drivers License State & Number(Required)

Last 4 of Social Security(Required)

Requested Arrival(Required)

MM slash DD slash YYYY

Departure(Required)

MM slash DD slash YYYY

Your Email Address(Required)

Enter Email Confirm Email

Address(Required)

Billing Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Adults in your party?(Required)

Please enter a number from 0 to 8.

Children?(Required)

Please enter a number from 0 to 8.

Pets?(Required)

Yes

No

How Many?(Required)

Type of Rig(Required)

Year of Rig(Required)

Make

Model

Background

Have you ever been evicted from a rental?(Required)

Yes

No

If yes, when?

Have You ever been convicted of a felony?(Required)

Yes

No

If yes, please explain (a felony does not constitute automatic denial honesty is the best policy)

We are a NO Smoking/Vaping Facility(Required)

There is no smoking on the property. If you smoke you will need to do so OFF Site. Do you agree to abide by this rule?

Yes

No

References

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Email(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Email(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Email(Required)

Address(Required)

City State / Province / Region ZIP / Postal Code

Information Release Authorization and Acknowledgements

Disclosures(Required)

I authorize Settlers Point Luxury RV Resort to verify any and all information provided solely for the purpose of evaluating the application and to retain the results of such in strict confidentiality, including any consumer credit report, public court records, a criminal background check, amnd current and past employment, as applicable.

I agree to the privacy policy.

Consent(Required)

I have thoroughly read and understand this application, including Settlers Point Luxury RV Resorts rights regarding verification of my information. I hereby represent that the information that I have provided in this application is true and accurate to the best of my knowledge.

I agree

WASHINGTON WEATHER

Settler's Point Luxury RV Resort
1355 East Bluff View Drive
Washington, UT 84780

info@settlerspointluxuryrvresort.com

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