Rental Agreement
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Delivery Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Billing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Point of Contact Name
*
First Name
Last Name
Secondary Point of Contact Number
*
Please enter a valid phone number.
Day of Setup:
Date
*
Setup time:
Time
AM
PM
*
Pick-up day:
Date
*
Pick-up time:
Time
AM
PM
*
Invoice number:
*
Please copy and paste invoice number from receipt.
Briefly describe the rental or service we are providing:
Example: 150 linear feet of black pipe and drapes at 10 feet high. Delivery setup and pick up included.
Signature
*
Submit
Should be Empty: