Equipment Rental Application

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This application must be filled out entirely and a proper COI must be sent sent in to be considered for direct rental approval. Some items we carry are not available for direct pickup and must be delivered and or setup by a member of our team. Please contact your sales person with any further questions.

Email *

How did you find us?

Google

I was referred

Facebook/Instagram

I'm an existing customer

Other:

Legal Company Name

DBA Name

(if applicable)

COI - Certificate of Insurance *

Established companies may quality to rent equipment without a Fox Audio Visual technician operator. One of those qualifications is to have a current and valid COI.General Liability of $1,000,000 per occurrence. / $2,000,000 AggregateWorker’s Comp with $1,000,000 per Employer’s Liability LimitsAuto Liability with $1,000,000 Combined Single LimitMade Payable to Halosure LLC 4520 Dorchester Road, N. Charleston SC 29405

Yes, I have a COI that meets these requirements.

I have a COI but it doesn't quite meet the requirements.

No, I do not have a COI and understand this may limit my ability to rent equipment.

D-U-N-S Number

Dun & Bradstreet

Your Name *

(first & last)

Billing Address *

(the address your credit card bill would go to)

Physical Address

(if different from billing)

Business Phone Number

Cell Phone Number *

E-Mail Address *

PO# / Account # / Comments / Requests etc..

Submit

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