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Location Of Rental

 

Name:

 

Address:

 

City, State, ZIP Code:

 

Phone:

 

Lot#:

 

Billing Address

 

Name:

 

Address:

 

City, State, ZIP Code:

 

Phone:

 

Lot#:

 

E-mail:

 

Rental Equipment

 

Prices:

 

Method Of Payment

 

Type of Payment:



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Make checks payable to:
Certified Repair Services, Inc
.

*To make a payment by credit card, please call
(616) 797-9998 with your credit card information.

 

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Terms Of Service

The rental period is for one (1) season from Spring to Fall. The above prices under Rental Equipment include one (1) free exchange
delivered on the Certified Repair Services, Inc. standard delivery route. Any additional exchanges are the responsibility of the above
named person at a rate of $50.00 for Full Service, per exchange on the Certified Repair Services, Inc. standard delivery route.

By submitting this form, you acknowledge that you have read, understand and agree to the terms and conditions on this form. You
further agree that any loss or damage to the above mentioned equipment is solely the responsibility of the above named person and
agree to pay $250.00 maximum for a damaged or missing unit.

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Phone: (616) 797-9998 | 3350 Chicago Dr. SW Grandville, MI 49418 | Sandy Pines Lot K360

Copyright © 2014 Certified Repair Services, Inc.