Application
VACATION RENTAL AGREEMENT
NAME OF APPLICANT: ___________________________________
ADDRESS: _________________________________________________
CITY, STATE, ZIP: ___________________________________________
PHONE NUMBER: _______________ CELL PHONE: _____________
DRIVER'S LICENSE NUMBER: ____________________________ EXPIRES: __________
LICENSE PLATE NUMBER: _____________________________
Property: 53722 Pioneertown Road, Pioneertown, CA 92268
The Premises are for the sole use by the following named person(s)only:
_______________________________________________________________________
_______________________________________________________________________
Term: The term begins at 3 PM on__________________________________
and ends at 11 AM on ___________________________________________
Rent shall be _____________________________ paid in advance through Pay Pal.
Security deposit of $200 paid in advance through Pay Pal
Call for Pay Pal account number.
I have read and understand the policies for the rental and agree to them.
Signature __________________________________________________________
IF YOU HAVE HORSES ON THE PROPERTY THE ATTACHED LIABILITY RELEASE MUST BE SIGNED.
Liability Release Forms
![](contact.png)