Reserve Your Delivery | Z-Man Appliance Rentals

Reserve Your Delivery | Z-Man Appliance Rentals

Choose a delivery time, share your washer/dryer setup details, and submit your reservation—no payment is taken on this form.
Applicant & Contact Details
Full name

First NameLast Name
Mobile phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Delivery address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Delivery Location & Availability
Do you have a Visa, Mastercard, American Express, or Discover card to pay with?
When works best for delivery? (check all that apply)
Earliest date you'd like delivery

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pre-Install Access & Laundry Area Details
Does your laundry area have hot and cold water hookups and a drain for the washer?
What type of dryer outlet do you have?
Is there an existing dryer vent?
Delivery Notes & Discovery
Anything we should know about getting the machines to the laundry area? (stairs, basement, narrow doorways)
Photo of your laundry area

Cancelof
How did you hear about us?
Anything else we should know?
Consent & Acknowledgements
I agree to receive text messages from Z-Man Appliance Rentals about my delivery and rental, including reminders before my monthly payment. Message and data rates may apply. Reply STOP to opt out.
I understand that no payment is taken on this form. When my set is installed, I will sign the rental agreement and pay $120 (first month $60 plus a $60 refundable deposit) by Visa, Mastercard, American Express, or Discover card. My deposit is refunded when the machines are picked up after a minimum 6-month rental.
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Reserve Your Delivery | Z-Man Appliance Rentals

Applicant & Contact Details

Delivery Location & Availability

Pre-Install Access & Laundry Area Details

Delivery Notes & Discovery

Consent & Acknowledgements