Rental Request

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About You

Company Name(Required)

Contact Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Phone

Preferred Method of Contact

Equipment Inquiry Information

Please enter more information about the requested equipment.

Product Name

Product Number

If you know the product number of the equipment you would like to rent, enter it here.

Rental Term

If you know how long you'd like to rent the equipment, enter that information here.

Additional Information

Please provide any additional helpful information about this rental request.

Terms: What to do for Lost/Damaged/Stolen equipment

Terms: What to do if Rental Equipment Service is needed

Terms: How to Return Rental Equipment

*Customer is responsible for the return of all rental equipment. All power supplies MUST be returned FREIGHT. If freight shipment is not utilized, there is a $500 fee plus any repairs or replacement needed. *Customer is responsible for all shipping charges to and from their locations. Any equipment returned on ATs's shipping account without prior authorization will be invoiced to customer with an additional $25 or 15% fee, whichever is greater. *Rental fees will terminate upon equipment's arrival at ATS and a final rental invoice will be generated. *A full inspection is completed within 14 days of rental return. If equipment has been deemed improperly used causing damage or excessive wear and tear, ATS reserves the right to charge the customer for repairs to bring equipment back to factory specifications. If equipment is damaged beyond repair, customer is responsible for replacement cost. See "Lost/Damaged/Stolen Equipment" for more

Electronic Signature

By entering your name below, you have read, understood, and agree to all terms and conditions of this Agreement and if any questions are had, they will contact ATS immediately. This agreement will cover any equipment rental in the current calendar year. By signing below, you also agree that all electronic signatures are the legal equivalent of your manual/handwritten signature and you consent to be legally bound to this agreement.

Electronic Signature(Required)