Reserve your phone online!

 


Please fill out this form.

Alternatively, you may fax your reservation request by clicking on this icon:





Cell Phone rental reservation. Please fill out the following information and press the 'submit' button at the bottom.

Our delivery agent will phone, email, or fax you to confirm your reservation, or if any other further information is required. You may cancel or change your reservation at any time.

(Please note that for your protection, we do not ask for your credit card number on this form and it is not transmitted over the public Internet. Instead, our delivery agent will phone you to obtain your credit card information.)

Thank you for your business! We welcome your comments. Email your comments directly to our general manager .



Customer Information:

Note - Required fields are marked with an asterisk *

Your title:
 Mr.    Ms.    Mrs.    Dr.    Other


First name *  Last name: *
 

Company:

Billing Address: *

City: *
State: *
Zip Code: *
Phone: *
Fax:
E-mail: *

I have previously rented equipment from you, or from your delivery agent (RoadPost Inc.):

    Yes    No

Rental Details:
Please Specify Service Required: *

Date Required: *

Time Required: *

Expected Return Date: *

To be used in: *

 

Delivery:
Same as billing address (see above)
Other delivery location (please specify in notes below)

Notes / Questions:

Tell us your rental plans: *
To expedite your request, please click one of the following.

I'm ready to reserve a cellular phone for my trip. Please get it to me in time for my trip.
I still have questions that need to be answered before I can reserve a cell phone. My question appears above.



 

 

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