COLVIN RENTALS, LLC (LAKE
CLAIBORNE RENTALS)318-255-0245 Fax 318-254-1198
fill out this form, print it and fax to: 318-254-1198. This form cannot be
submitted via the Internet.
(fax or send copy)
Place of Employment:
Arrival Date &
Departure Date & Time:
Property Rental Choice:
Where did you hear about us?
I understand that by submitting a
down-payment to hold my rental, that I have committed to that rental date,
subject to verification and approval of application, and that I will lose
my down-payment, as noted in the web page, if I fail to carry through with
my rental. I ALSO AUTHORIZE COLVIN RENTALS TO CHARGE $_______ TO THE
FOLLOWING CREDIT CARD, AS A RENTAL DOWN PAYMENT ON THE DAY OF BOOKING, AND
$_______ FOR THE RENTAL BALANCE ON THE DAY OF THE RENTAL.
(SIGNATURE REQUIRED--may be evidenced by
VISA OR MASTERCARD:
WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE.