Company Name:

Individual Responsible:

First Name:

Last Name:

Phone:

Ext:

Please include (Area Code) and Extension

Email:

Billing Address:

Suite:

City:

State:

Zip Code:

Contact Number:

Please include (Area Code) and number if different than above

Pickup Date:

MM/DD/YY

Return Date:

MM/DD/YY

	Number of Radios:
	Number of Headsets:
	Number of Speaker Mics:
Number of Channels needed:
	Choose Location Radios will be used:	Texas StadiumReunion ArenaAmerican Airlines ArenaDallas ConventionFt. Worth ConventionFair ParkByron NelsonOther
	Other Location not specified in list:

Will Radios need to be able to communicate through out the DFW area, which would require a Repeater?

NoYes

Comments


Please type in the word below for authenticity (lower case only!!)
 

Any Rental Equipment Not Returned On The Agreed Return Date Will Be Charged A Daily Rate Until Equipment is Returned At The Agreed Contract Daily Rate.	(Initial)  (Late Charge Understanding)
Any Rental Equipment Lost Will Be Your Responsibility And Will Be Replaced At Your Expense.		(Initial)                 (Loss Understanding)