Application Submittal

Thank you for your interest in making the Galaxy RV Park in New Mexico your home away from home. We strive to maintain a safe environment for all of our residents.

We require each of our residents to go through a thorough background check process. Please submit your information below, and a Galaxy RV park representative will reach out to you, based upon availability, to discuss next steps.

Application for RV Space Lease

Applicant Name:

Birthdate: SSN:

Email: Phone:

Driver’s License State & Number:

Type of RV: Make Model

Year License Plate Number and State

List Names of All Potential Occupants, Age, and Relationship to You

Have you previously occupied an RV Park? If so, please list name, location, and phone number of RV Park, dates you occupied the RV Park, and reason for leaving:

Are you currently employed? If so, please list employer’s name, address, and phone number. Please also provide your last two pay stubs and/or your estimated monthly income.

Do you own pets? If so, please describe the pet and approximate weight.

In connection with my Application I, the Applicant, authorize Galaxy WBE, LLC to perform and obtain a background check on me that may include a credit and criminal background check.

Print Name of Applicant:

Signature of Applicant:

Date:

2911 Connie Road, Carlsbad, NM, 88220, (915) 490-1075 phone