E-Mail Address:

Home Phone:

Business Phone:
Extension:

Fax:

Preferred method of response:
E-Mail
Home Phone
Business Phone
Fax
Postal Service

Your Name:

Address:

City: State: Zip:

Yes, please provide me with the following information on a potential purchase:

Please answer the following questions:

Are you considering
New
Used

How Soon?
Immediately
1-3 months
3-6 months
6-12 months
More than 1 year

Your Price Range:
Under $5,000
$5,000 to $15,000
$15,000 to $25,000
$25,000 to $50,000
$50,000 to $75,000
$75,000 to $100,000
More than $100,000

What type of RV are you interested in?
Class A Motorhome
Class B Motorhome
Class C Motorhome
Travel Trailer
Fifth-Wheel Trailer
Tent Trailer
Truck Camper
Park Model

Do you have a trade in? If Yes, what?
Motorhome
Travel Trailer
Fifth-Wheel
Tent Camper
Park Model
Other:

Year: Make:
Model:
Condition:
Excellent
Good
Average
Fair
Poor

What do you think the trade-in is worth?

Tell us what brand names you are interested in:
Four Winds
Forest River, Cedar Creek
Forest River, Rockwood
Forest River, Rockwood Roo
Trail-Lite Bantam
Trail-Lite Super Lite Weight

Model/Size?

Comments or Questions: