Wufoo

Name First Last
Phone Number ### - ### - ####
Email
Please choose one of the following
Fifth Wheel Travel Trailer Tent Trailer Motor Home
Make
Model #
Year

Please indicate the features condition.
	Good	Fair	Poor
Windsheild	1	2	3
Tires	1	2	3
Floor	1	2	3
Roof	1	2	3
Frame	1	2	3
Decals	1	2	3
Holding Tanks	1	2	3
Propane Systems	1	2	3
12v System	1	2	3
Awning	1	2	3
Screen Room	1	2	3
TV Antenna	1	2	3
Spare Tire	1	2	3
Microwave	1	2	3
Stereo	1	2	3
TV	1	2	3
VCR/DVD	1	2	3
Generator	1	2	3
Roof A/C	1	2	3
Refigerator	1	2	3
Water Heater	1	2	3
Furnace	1	2	3

Rate The Quality of Your Trade
1= POOR
10= Excellent

1 2 3 4 5 6 7 8 9 10

RATE 1 2 3 4 5 6 7 8 9 10

Damage Assesment
	Yes	No
Dents/Hail	1	2
Cracks	1	2
Leaks	1	2
Delamination	1	2
Pet	1	2
Rips/Tears Interior	1	2
Stains Interior	1	2
Water Damage Interior	1	2
Water Damage Exterior	1	2
Smoked In	1	2

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