Essential Rentals Inc. Delivery From

Essential Rentals Inc. Delivery From

No Credit Check - Free Delivery - Awesome Service
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a returning customer?*
If you submit a delivery request after hours we will contact you on the following business day to arrange your delivery.
What appliance do you need?*
What day works best for your delivery?*
What time works best for your delivery?*
Do you live in a house or apartment*
If you live in an apartment please provide the apartment number & gate code. If none type N/A*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Appliance Install
Does your dryer outlet have 3 or 4 prongs?*
Please upload a picture of the dryer outlet*

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What Floor Does Your Washer/Dryer Go On?*
We ONLY rent top load side by side units. We do not rent stackable units.*
Haul-off service is free! We accept only top load washer and dryers in sanitary conditions. Would you like us to haul off your old washer or dryer when we deliver?*
If we can't reach you who can we call?

In case your phone becomes disconnected or we can't reach you who can we contact?
Secondary Name (must be someone other than yourself)*
Secondary Phone (must be different than your phone number)*
Secondary Contact Email *
Relationship to you*
I authorize this person to be the secondary account holder. They will be able to request maintenance services and manage billing.*

Ownership and Management
Do you rent or own your home?*
In the event of a default, I hereby consent and authorize Essential Rentals to communicate with my management company or landlord for the purpose of seeking assistance in the retrieval of the washer and dryers, which are considered the property of Essential Rentals.*
Identity Verification
YOUR BIRTH DATE*

MonthDayYear
Date
Please type in your driver's license or ID number*
Are you currently employed?*
Please provide a photo of your drivers license or ID below

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Equipment Use and Liability Agreement

Important Notice for Prior Customers: If you or your secondary account holder have an outstanding balance, any payments made upon signing up for this service will be applied to the past due amount first. This amount will not be refunded
Equipment Ownership: Rented equipment is owned by Essential Rentals.

Rental Payments: Minimum 3-month rental. Washer and dryer set: $62.98/month. Washer or dryer only: $31.49/month.

Missed Appointment Fee: Notify us 6 business hours in advance to avoid a $35 fee. Late Payment: $10 late fee, processed automatically with the credit card on file.

Customer Responsibility: Ensure the credit card on file is valid with sufficient funds. Non-payment may result in additional fees and equipment retrieval. Right to Refuse Service: We may refuse service for late payments or disrespectful behavior.

Clearance During Delivery: Provide approximately 1 foot of clearance on each side of the machines for delivery and removal. Essential Rentals is not responsible for damage to walls or surroundings if adequate clearance is not provided. Essential Rentals is not responsible for floor damage during use or installation. Insurance Requirement: Customers must have either rental insurance or homeowners insurance that covers any damages to their home or neighbors' homes in the event of flood, fire, or damage. Essential Rentals is not responsible for personal injury resulting from the use of our equipment. Essential Rentals is also not responsible for any damage to clothing or belongings resulting from the use of our equipment.

I agree to monthly automatic payments for my appliance rentals.*
*Essential Rentals requires customers to be setup on an automatic payment schedule.
Should be Empty:

Essential Rentals Inc. Delivery From

Appliance Install

If we can't reach you who can we call?

Ownership and Management

Identity Verification

Equipment Use and Liability Agreement