Equipment Rental Request

Rental Contact

Business Name *

Contact *

Contact Phone *

Contact Email *

Requested Date

Rental Start Date *

Rental Return Date *

Requested Equipment

Equipment Packages *

Audio Package – (2) Speakers and Stands, Amp, (4) Wireless Mics and Receiver

Projector Package – Projector, (2) Stands, Collapsible Screen

TV Package – 55 Inch TV, Stand, Roku

Temp Site Internet – Unlimited 5G Internet

Pickup Equipment *

I will pickup the equipment during business hours, M-F 8AM-5PM

I will need to arrange an alternate pickup time. Additional Charges May Apply

I would like to schedule delivery and pickup at my site. Delivery Charges Depend on Distance

Delivery Address *

Delivery Address

Delivery Address

Delivery Address

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

Delivery Address

Authorization

Authorize Charges *

I authorize the following rental request. I understand that my request is pending until confirmed by email from our office. An invoice will be sent and a deposit must be made prior to confirmation.

Submit

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