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Rental Form
Form used to order items. Please include as much information so that we can continue providing excellent customer service.
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1
Rental Identification Number:
*
This field is required.
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2
Manufacturer
*
This field is required.
Name of Manufacturer
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3
Items Description
*
This field is required.
choose item that will be rented
BCD
Regulators / Computers
Wetsuits
Tanks
Accessories
BCD
Regulators / Computers
Wetsuits
Tanks
Accessories
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4
Product number
*
This field is required.
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5
Size of Items
*
This field is required.
Type in the Size of Items
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6
Color of Item
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7
Item Cost
*
This field is required.
Amount of money deposited towards Rental
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8
Date Entered
*
This field is required.
Date rental was picked up
-
Date
Year
Month
Day
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9
Employee
*
This field is required.
Name of Employee Taking Order
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10
Special Notes / Instructions
Provide as much information as possible
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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11
DATE LAST SERVICED
-
Date
Year
Month
Day
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12
Rentl Order Form Unique ID
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Should be Empty:
Rental Form
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