Equipment Rental Reservation Form

Fill it out completely with info from the Rental Equipment page. 
When done, click on the Submit button below.
You will be emailed be a confirming the status of your Rental Reservation.

If you prefer, use the printable Rental Reservation Form.

Name of Business: 

Address: 
City: State:   
Zip:  Phone: 
Contact: 

Please enter up to 3 Rental Items below:
Item Number:
Item Description:
Rental Start Date: Pickup Time:
Rental Return Date: Length of Rental:
 
Item Number:
Item Description:
Rental Start Date: Pickup Time:
Rental Return Date: Length of Rental:
 
Item Number:
Item Description:
Rental Start Date: Pickup Time:
Rental Return Date: Length of Rental:

Rentals can be charged to pre-existing accounts (click here for an application) or paid by credit card. Please fill in the appropriate information below:

Account #:  Account Name:

Credit Card Type:
VISA MasterCard
Credit Card #: Exp Date:

Cancellation Policy:
When a reservation is confirmed, a deposit equal to the estimated amount of the rental will be charged to your account or credit card number. In the case of cancellation: If more than 48 hours before rental time, a full refund of deposit will be credited. Less than 48 hours but more than 12 hours before rental time, a 50% refund of deposit will be credited. 12 hours or less hours before rental time, no refund of deposit will be credited. 

I have read and understand this Cancellation Policy and agree to abide by its terms. Please process my reservation. I understand submitting an on-line rental reservation request does not guarantee that equipment will be available. After processing my request, an email confirming its status will be sent.

Full Name: Title:
Date: EMail:

Be sure to read our On-Line Rental Policy.