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©1975 - Keller Communications Inc.
Rental Request Form
Company Name:
First Name:
Last Name:
Phone:
Ext:
Email:
Billing Address:
City:
State:
Zip:
Contact Number:
Pick Up Date:
Return Date:
Number Of Radios:
Number Of Headsets:
Number Of Speaker Mics:
Number Of Channels Needed:
Choose Location Radios Will Be Used:
Select a Location
Cowboys Stadium
Arlington Stadium
Downtown Dallas
Downtown Ft. Worth
American Airlines Center
Byron Nelson Golf
Golf Tournament
Dallas Convention Center
Ft.Worth Convention Center
Gaylord Texan
Other Location Not Specified In List Above:
Additional Comments:
Enter The Security Code
Initial
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. Any Equipment Lost Or Damaged Will Be Your Responsibility And Be Repaired Or Replaced At Your Expense.
<<< I understand my Responsibilities mentioned below!!!
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Keller Communications Inc.
