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Your Information:
First Name* Last Name* Email Address* Contact Address Telephone Number Please enter phone numbers with the area code. Home: Work: Cell Phone: Your RV information:
Your RV Type Select One Bus Conversion Class A Diesel Class A Gas Class B Van Motor Home Class C Motor Home Fifth Wheel Trailer Freightliner Cab Motor Home Pick-up Truck Pop-up Camper Trailer Travel Trailer
Model Year 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Manufacturer (IE: Fleetwood, Monaco, Keystone etc) Model Name (IE: Southwind 32V
Length Mileage Is Odometer Correct? (if YES please check) Ownership History Choose One First Owner - Bought New Second Owner - Bought from Dealer Second Owner - Bought from Bank Repo Second Owner - Bought from Private Party Second Owner - Inherited or Gifted Third Owner - Bought from Dealer Third Owner - Bought from Private Party Third Owner - Bought from Bank Repo Third Owner - Inherited or Gifted Fourth Owner - Any Type Engine Type Choose One 4 Cyl. Gas 4 Cyl. Diesel Izuzu 4 Cyl. Diesel Turbo 6 Cyl. Gas 6 Cyl. Gas Turbo 6 Cyl. Diesel CAT 6 Cyl. Diesel Turbo CAT 6 Cyl. Diesel Cummins 6 Cyl. Diesel Turbo Cummins 8 Cyl. Gas 8 Cyl. Gas Turbo 10 Cyl. Gas Engine Displacement or Horsepower Engine History Choose One Original Rebuilt Original New Replacement Rebuilt Replacement Replaced with a Salvage Engine Unknown Banks Power System Unknown Yes No Slides Choose One None One Living Room One Dinette One Rear Bedroom Two, Living Room & Dinette Two, Living Room & Bedroom Two, Dinette & Bedroom Two, Living Room & Kitchen Three, Living, Dinette & Bedroom Three, Kitchen, Living Room & Bedroom Three, Living, Living Room & Bedroom Four Slides Do Slides Have Awnings (if YES please check) Awnings None Patio Only Patio and One Patio and Two Patio and Three Patio and Four Levelers Choose One Jack Stands Crank Down Hydraulic Manual Hydraulic Automatic Scissors Type Hitch Jack Power Hitch Jack Air Conditioning Choose Type 11,000 BTU Roof 11,000 BTU Roof Two 13,500 BTU Central, Ducted 13,500 BTU Non-central, Ducted 15,000 BTU Central, Ducted 15,000 BTU Non-central, Ducted None Installed Furnace Choose Type In Roof AC/Heat Unit 10,000 - 12,000 BTU Furnace 13,000 - 17,000 BTU Furnace 18,000 - 20,000 BTU Furnace 21,ooo - 28,000 BTU Furnace 29,000 - 35,000 BTU Furnace None Installed Generator None or Not Working 2 Kilowatt 3 Kilowatt 4 Kilowatt 5 Kilowatt 6 Kilowatt 7 Kilowatt 8 Kilowatt 9 Kilowatt 10 Kilowatt Generator Fuel Choose Type Propane Gas Diesel Cooking System None Installed GAS Grill Cook Top Only Gas Grill - Gas Oven Gas Grill - Gas Oven - Microwave Exterior Gas Grill Convection - Microwave Oven - Gas Grill Refrigerator None or Not Working Two Door Two Door Auro Power Source Switching Two Door - Side by Side Side by Side with Ice Maker Four Door Luxury with Ice Maker Stand Alone Ice MAker Water Heater None or Not Working 6 Gallon Gas/Electric 6 Gallon Gas/Electric with DSI 10 Gallon Gas/Electric 10 Gallon Gas/Electric with DSI 12 Gallon Gas/Electric 12 Gallon Gas/Electric with DSI Sleeping Accommodations Other (Describe in Comments) Single Two - Fold Out Two - Full Corner Bed Two - Full Size Walk-around Two - Queen Corner Two - Queen Walk-around Two - King Walk-around Two - Drop Down Overhead Four - 2 Full Corner + 2 Fold-out sofa Four - 2 Full Corner + 2 Dinette Four - 2 Full Walk Around + 2 Fold-out Sofa Four - 2 Full Walk-around + 2 Dinette Four - 2 Queen Corner + 2 Fold-out Sofa Four - 2 Queen Corner + 2 Dinette Four - 2 Queen Walk Around + 2 Fold-out Sofa Four - 2 Queen Walk-around + 2 Dinette Four - 2 King Walk-around + 2 Fold-out Sofa Four - 2 Overhead + 2 Fold-out Sofa Four - 2 Overhead + 2 Dinette Six - 2 Full Corner + 2 Fold-out Sofa + 2 Dinette Six - 2 Full Walk-around + 2 Fold-out Sofa + 2 Dinette Six - 2 Queen Corner + 2 Fold-out Sofa + 2 Dinette Six - 2 Queen Walk-around + 2 Fold-out Sofa + 2 Dinette Six - 2 King Walk-around + 2 Fold-out Sofa + 2 Dinette Warranty None Manufacturers - New Manufacturers - Extended After Market Extended
Please check all of the following that apply to your RV: Tag Axle Rear View Camera Leather Captain Chairs Used to Tow All Tires same Make Drivers Door Repaired After Accident Windshield Chips or Cracks
Additional Comments
