Reservations

BRAD'S CAMPER RENTALS (724) 561-6682

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*For Availability on the Fleetwood "Yuma" OR the Jayco "Quest" please contact us

<a href="http://www.webreserv.com/services/bookonline.do?businessid=bradscamperrentalspa&embedded=y">Make Reservation</a></iframe </p> <p> <style type="text/css"> </style> <table border="0" width="470" Description="Include a way for potential customers to provide you with their contact information." Name="Customer request form" PrintLinkText="Show a print version" PrintOption="noPrint" TemplateId="form004" TlxClass="form_template" bordercolor="#000000" cellpadding="2" cellspacing="0" class="table_d2e26 usertable subhead_table"> <form action="http://www.sitedelux.com/svcs/formproc.jsp" method="POST"> <input type="hidden" name="tlx_data" value="m9bsQehLXA9jTlA6anivhJU2cSmHb41ZUgFdd5Qzo5cVIaZJEmi1ASAtL0yiNdoV2FqpG+WWkkNR
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<td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Full Name:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="fullname" value="" maxlength="100" size="45"><font size="1"> * required</font> </font> </div> </td> </tr> <tr> <td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Email Address:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="email" value="" maxlength="100" size="45"><font size="1"> * required</font> </font> </div> </td> </tr> <tr> <td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Telephone Number:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="telephone" value="" maxlength="100" size="45"><font size="1"> * required</font> </font> </div> </td> </tr> <tr> <td class="user subhead" bgcolor="000000" background="/imagelib/sitebuilder/layout/spacer.gif" TlxField="area1" align="center" colspan="2" valign="middle"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><div align="left"><strong><font face="Times New Roman" size="3" color="#ffffff">Reservations:</font></strong></div></font></div> </td> </tr> <tr> <td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Your Dates:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="Dates" value="" maxlength="200" size="30"><font size="1"> * required</font> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><div><font face="times new roman,times" size="2">Destination:</font></div></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="Destination" value="" maxlength="200" size="30"><font size="1"> * required</font> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Choose Your Pop-Up:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="PopUp" value="" maxlength="200" size="30"> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Pickup or Delivery?</font> </font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="PickUpDeliver" value="" maxlength="200" size="30"> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Comments:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <textarea name="comments" cols="30" rows="5"></textarea> </font></div> </td> </tr> <tr> <td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> </tr> <tr> <td class="user subhead" bgcolor="000000" background="/imagelib/sitebuilder/layout/spacer.gif" TlxField="area1" align="center" colspan="2" valign="middle"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><div align="left"><strong><font face="Times New Roman" size="3" color="#ffffff">Deposit Information:</font></strong></div></font></div> </td> </tr> <tr> <td class="user subhead" bgcolor="#eeeeee" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <p><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><p><font face="Arial, Helvetica, sans-serif" size="2"><strong><em>You will be notified immediately if the dates and camper you requested are available or not. Your card will NOT be charged if your dates are not available.</em></strong></font></p></font> </p> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Credit/Debit Card #:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="CardNumber" value="" maxlength="200" size="30"> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><font face="times new roman,times" size="2">Expiration Date:</font></font></div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="ExpDate" value="" maxlength="200" size="30"> </font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"><div><font face="times new roman,times" size="2">Deposit Amount:<br /><font size="1">(Min. of $50 is required to reserve your dates)</font></font></div></font> </div> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="text" name="DepositAmount" value="" maxlength="200" size="30"> </font> </div> </td> </tr> <tr> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> </td> <td class="user subhead" bgcolor="#FFFFFF" background="/imagelib/sitebuilder/layout/spacer.gif" width="200"> <div><font face="Arial, Helvetica, sans-serif" size="3" color="#000000"> <input type="image" src="/imagelib/sitebuilder/layout/submit_black_square.gif" name="tlxsubmit" value="Submit"> </font> </div> </td> </tr> </form> </table>  </p>  </td> </tr> <tr> <td width="645" height="10"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="1" height="10" alt=""></td> </tr> <tr> <td width="318">   </td> <td width="11"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="11" height="1" alt=""></td> <td width="318" valign="top">   </td> </tr> <tr> <td colspan="3" width="646" height="15"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="1" height="15" alt=""></td> </tr> <tr> <td width="318">   </td> <td width="11"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="11" height="1" alt=""></td> <td width="318">   </td> </tr> </table> </td> </tr> </table> <table border="0" width="621" cellspacing="0" cellpadding="0"> <tr> <td width="621" height="15" colspan="3"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="1" height="15" alt=""></td> </tr> <tr> <td width="100"></td> <td width="421" height="5" bgcolor="#006600"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="1" height="4" alt=""></td> <td width="100"></td> </tr> <tr> <td width="621" height="15" colspan="3"><img src="/imagelib/sitebuilder/layout/spacer.gif" width="1" height="15" alt=""></td> </tr> <tr> <td width="621" colspan="3" valign="top">     </td> </tr> </table> </td> </tr> </table> </body> </html>