Equipment Rental Form

Please fill out the application to rent equipment and a customer representative will be in touch with you within 1 business day with an estimate rate.

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Which equipment pieces are you interested in renting? *

Dehumidifier

Air Mover

Ozone

New Customer - How did you hear about us? *

Email

Mail

Moses Cone Site

Nextdoor App

Online Search (Google, Bing, Yahoo, etc.)

Google Ad

Facebook Ad

Referral (Friend, Landlord, Realtor, Work)

Repeat (Used Us Before)

Saw Our Vans

Social Media (Facebook, Instagram, Pinterest, TikTok X)

SMS (Text Message)

Yelp

Other

How many pieces do you need to rent of each equipment? *

Repeat Customer - What prompted you to come back? *

Email (received an email)

Facebook Ad (Saw an ad)

Google Ad (Saw an ad)

Saw Our Vans

SMS (received a text message)

Social Media (Saw a post)

Just remembered to call you.

Other

If someone referred you, what is their Name?

We are open Monday-Friday.

What is your preferred Date & Time Frame, if you approve the estimated rate?

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