Pocono Properties Rentals & Sales Car Registration Form
Renters are responsible to pay any registration fees in addition to rental. If paying by credit card there is a 4% charge. Otherwise, please mail check to Pocono Properties Rentals & Sales, 1878 Route 940, Suite 102, Pocono Pines, PA 18350 (570) 606-4111 pocprop@gmail.com
Name
First Name
Last Name
E-mail
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
What Development are you Renting in?
Arrowhead Lakes
Brier Crest Woods
Emerald Lakes
Locust Lake Village
Towamensing Trails
Date of Arrival
-
Month
-
Day
Year
Date Picker Icon
Date or Departure
-
Month
-
Day
Year
Date Picker Icon
How Many Renters Are Coming?
Who is your Realtor/Rental Agent?
Antoinette Williams
Jacqueline ALbrecht
Kara Sincavage
Nicki Bator
Robert Eder
William Sincavage
List ALL Car Info
Driver
License Plate Number
State
Color
Make
Model
cell phone of car driver
Car 1
Car 2
Car 3
Car 4
Car 5
Car 6
Car 7
Car 8
Submit
Should be Empty: