Expressway Cinema Rentals Equipment Insurance Protection Plan Application

Expressway Cinema Rentals Equipment Insurance Protection Plan Application

Film Emporium is pleased to offer Expressway Cinema Rentals Equipment Insurance Protection Plan thru U.S. Specialty Insurance Company for rented equipment valued up to $50,000. These policies cover both damage and theft with a $500-$1000 per claim deductible and can be as long as 30 days.
This insurance coverage is not refundable and immediately earned at inception.
APPLICANT INFORMATION
Have you completed Expressway's Rental Agreement?*

YesNo
Click here for Expressway's Rental Agreement.
First Time Expressway Renter?*

YesNo
Your Company or Name as per the Rental Agreement*
Your Expressway Cinema Rentals Quote Number(s)*
Your Address as per the Rental Agreement*
Street, City, State, & Zipcode
Phone Number*

Area CodePhone Number
E-mail*

Confirmation Email
Equipment Replacement Value as per the Rental Quote(s)*
How Many total days are you renting the equipment?*
Pick-up Date as per the Rental Quote*

MonthDayYear
Date
Drop-off Date as per the Rental Quote*

MonthDayYear
Insurance exp. is 12:01am. If your last day or filming is April 25th use April 26th as the last day of coverage (as it will expire on 04.26 12:01am).
Total Premium Due:*
Total Premium Due Widget

Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This insurance coverage is not refundable and immediately earned at inception.
Should be Empty: