NepSoSS- Equipment Rental Form

NepSoSS- Equipment Rental Form
You will receive an email once the form has been submitted to NepSoSS. If you havent received an email, please re-submit the form. If you made an error, please Edit by clicking the link on the email.
Date and Time of Submission
Name:*

First NameLast Name
Address*

Street Address

Appt Number or Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Rental Start Date:*

MonthDayYear
Start Date
Rental End Date:*

MonthDayYear
End Date
Rental Products ($10 per day), Please tick the products and enter number of days you wish to rent.*
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Sound System$10.00CAD

Total Days
Item subtotal:$0.00CAD

Gazibo/Tent$10.00CAD

Total Days
Item subtotal:$0.00CAD

Gas Burner Stove$10.00CAD

Total Days
Item subtotal:$0.00CAD

Cooking Utensils$10.00CAD

Total Days
Item subtotal:$0.00CAD

Total $0.00CAD
Users's Consent (Read full text by scrolling down to enable check mark)*
Signature*
First and Last Initial
- NepSoSS
Should be Empty: