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Rental Form

Rental Formminnesotamarketing2022-12-24T22:17:35+00:00

1COMPANY INFORMATION

2BILLING INFORMATION / ACCOUNTS PAYABLE

3PROJECT RENTAL DETAILS

4EQUIPMENT REQUESTED

COMPANY INFORMATION / ORDER REQUEST BY

COMPANY NAME *

COMPANY PHYSICAL ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

RENTAL REQUESTED BY *

First

Last

Phone *

Email *

BILLING INFORMATION / ACCOUNTS PAYABLE

NAME *

PHONE

EMAIL *

PROJECT RENTAL DETAILS

PROJECT NAME / OWNER *

PURCHASE ORDER NUMBER (OPTIONAL)

PROJECT ADDRESS *

Address Line 1

Address Line 2

City

State

Zip Code

SITE CONTACT NAME *

SITE CONTACT NUMBER *

DELIVERY? *

YES.
NO.

RENTAL START OR DELIVERY DATE *

EQUIPMENT REQUESTED

I AM INTERESTED IN. . .

Attachments
Boom Lifts
DC Electric Scissor Lifts
Compaction Equipment
Earthmoving Equipment
Ground Heaters
Portable Power
Rough Terrain Scissor Lifts
Telehandlers
Temp Heat Solutions

ADDITIONAL NOTES AND EQUIPMENT NEEDS

Hours

Mon-Fri: 8:00am – 4:30pm
Sat-Sun: Closed

Location

2050 County 41 NW
Backus, MN 56435

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