Huska's Haven Rental Application
Thank you for considering to rent Huska's Haven.  We require tenants to complete this form in its 
entirety before renting Huska's Haven.  Your reservation date will not be locked in until this form is 
received and accepted along with the deposit.  You are not required to send the deposit until your 
application is accepted.  If the application is accepted, we will call you to confirm your reservation 
date before cashing your deposit.

Date:	___________________________________

Name:	_____________________________________

Address:	
	_____________________________________

	_____________________________________

	_____________________________________


Telephone Number:	___________________________________

Employer's Name:	_____________________________________

Employer's Address:	

	_____________________________________

	_____________________________________

	_____________________________________

Employer's Telephone Number:	___________________________________

First Choice Arrival Date:	_____________________________________

First Choice Departure Date:	_____________________________________

Second Choice Arrival Date:	_____________________________________

Second Choice Departure Date:	_____________________________________

Would you like to use the Hot Tub?	[   ] Yes   [   ] No 
(Requires an additional $35 rental)

Rented at Lake Gaston Before?	[   ] Yes   [   ] No

Agency/Renter's Name:	_____________________________________

Phone Number:	_____________________________________

House Name:	_____________________________________

Date:	_____________________________________

Was 100% of Deposit Returned?	[   ] Yes   [   ] No (If no, list reason at the end of this document)


Rented a vacation house before?	[   ] Yes   [   ] No

Agency/Renter's Name:	_____________________________________

Phone Number:	_____________________________________

House Name:	_____________________________________

Date:	_____________________________________

Was 100% of Deposit Returned?	[   ] Yes   [   ] No (If no, list reason at the end of this document)

List all the people who will be staying or visiting Huska's Haven (Huska's Haven comfortably sleeps 6 
people but can accommodate up to 8 people - including children):

Name	Age	Relation	Staying Overnight or Visiting

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

________________________	______	_______________	________________________

Do any of these people smoke?	[   ] Yes   [   ] No 

Do any of these people plan to bring a pet?	[   ] Yes   [   ] No 

The number of vehicles that will be parked at Huska's Haven:	______

The number of boats that will be docked at Huska's Haven:	______

Boat Manufacturer	Type of Boat (i.e. Ski, Fish, Jet Ski, Canoe, Raft, etc.)

_________________________	__________________________

_________________________	__________________________

_________________________	__________________________

[   ]  By placing an "X" in this box (either hand written or typed), I certify that all of the above information 
is absolutely correct to the best of knowledge.

__________________________________________
Full Name


Please send this form via e-mail to HUSKASHAVEN@NC.RR.COM or fax it to (775) 890-6537.

Upon acceptance of the rental application, we will send you the signed rental contract that you will 
need to sign and return with the required deposit.  Thank you for renting Huska's Haven! 

Reasons: