Camper Pickup Authorization Form
Authorize a designated individual to pick up your camper or RV. Please complete all fields accurately.
Owner’s Full Name
*
First Name
Last Name
Owner’s Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Owner’s Email Address
*
example@example.com
Camper/RV Make and Model
*
Camper/RV License Plate Number
*
Designated Pickup Person’s Full Name
*
First Name
Last Name
Relationship of Pickup Person to Owner
*
Please Select
Family Member
Friend
Employee
Other
Pickup Person’s Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Pickup Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Special Instructions or Notes (if any)
Authorize Pickup
Should be Empty: