River Shack Rentals | Property Rental Application

First Name *

Last Name *

Mobile Number *

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Property you're applying for *

Preferred Arrival Date *

Preferred Departure Date *

Guest Details

Please supply the details of every guest staying - including children

Number of Adults *

Number of Children *

Guest 1

Full Name

Age

Gender

Guest 2

Full Name

Age

Gender

Guest 3

Full Name

Age

Gender

Guest 4

Full Name

Age

Gender

Guest 5

Full Name

Age

Gender

Additional Guests

Add additional guests

Additional Guest Information (please provide Full Name, Age & Gender for each guest including children)

Number of Vehicles

Cars *

Motorbikes *

Ski Boats *

Jet Skis *

Other (Please Specify)

Payments

Payments can be made by: Cheque, Money Order, Cash or Direct Deposit to River Shack Rentals. PLEASE NOTE: Security bond will be refunded in full upon a satisfactory inspection of the property within 10 working days. Please supply us with your BSB and Account Number for a bond refund.

NOTE: We cannot debit payments from your bank account, these details are used purely for a bond refund.

Account Name *

BSB *

Account Number *

Declaration

I, Applicant, do solemnly and sincerely declare that;

Only the number of persons included in the application form shall use and occupy the premises.
I will pay a security bond by the date requested on the booking letter.
I will pay the balance of the monies owed no less than 1 (one) month prior to occupation.
I acknowledge receipt of standard terms and conditions.

How did you find out about this property?