Hydrant Equipment Rental

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Start Date
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Phone Number*
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License Plate*
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Return Date
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Equipment Rented

Rental Type*

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Total Rental Charge
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Equipment Deposit

Equipment rental requires a deposit in the amount of $100.00 in the form of cash or check. Deposits will be refunded on the satisfactory return of equipment.

By Signing below the permitee agrees that the equipment rented will be returned in working order and without damage within the timeframe stipulated above. Failure to return the equipment by the return date will result in loss of equipment deposit.
Signature (Please type in full name)*
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