*Full Name

*Address 1

Address 2

*City *State *Zip Code

*Day Phone Eve Phone *Email

*Date of Arrival *Date of Departure

*No. of Adults *No. of Children *No. of Pets *Type of Pets

*Size (ft.) of RV * Other (please specifiy)

*Quanity of towed or extra vechicles Please check if tow vechicle is longer than 20 ft

*Year of unit (must be 1995 or newer) *Condition of unit

Please check if you will be in need of phone service

The Portland-Woodburn RV Park requires a minimum of two references. The references should include
other parks that you have stayed at, or persons rent property from, business references, and credit report.
References from family or friends are not acceptable.

Reference # 1
*Business Name *Contact Person

*Address

*Phone Number *Dates of when you rented or did business

Reference #2
*Business Name *Contact Person

*Address

*Phone Number *Dates of when you rented or did business

If you have any special requirements or considerations, please include them in the box below:

The Portland-Woodburn RV Park reserves the right to refuse service to any unit that does not meet park standards.
All units must be free of rust, broken windows, and any body damage.
Please note The Portland-Woodburn RV Park will not accept dobermans, rotweilers, pit bulls, german shepherds,
or any other unfriendly animal.
*Denotes required information. Form can not be submitted with missing fields.
We will get back to you shortly concerning your request.


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Portland-Woodburn RV Park 115 N. Arney Road Woodburn, OR 97071
P:503.981.0002 F:503.981.0334 Toll Free:888.988.0002 info@woodburnrv.com

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Portland-Woodburn RV Park