Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

pick-up / delivery date

MM

DD

YYYY

rental periods *

I understand the rental period is 48hrs (delivery/pick up)

agreement *

I understand there is a $150 - $250 security deposit for your rental items. Once items are returned, and it is confirmed to be in it's original condition, we will return your full deposit. If damages or loss occur, it will be deducted from your security deposit. Do you agree to this?

I have read + understand and agree