Name
Organization
Event Address
City
State
Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Email
Mobile Phone
Text notifications okay?
(By checking this box you agree to receive informational & marketing text messages from Homestead Gatherings at the number provided, including automated messages. Msg frequency varies. Text HELP for help, STOP to opt-out. Msg & Data rates may apply.
Privacy Policy and Terms
)
Other Phones
Home Phone
Office Phone
Fax Number
Referred By
Select...
Bing
Direct Mailing
Friend
Google
Other
Past Customer
Phone Book
Print Ad
Radio
Yahoo
Event Name
Start
End
Surface
Select...
Grass - Allow Stakes
Grass - No Stakes
Gravel
Indoor
Pavement
Delivery Type
Drop-Off
Tax Exempt?
No
Yes
Would you like us to setup your tables & chairs? (Fees Apply)
No
Yes
Same Day Pickup Fee:
Rental items need to be picked up the same day
($50 fee will apply)
If rental items can be picked up the next morning, do not select the box.
Exact Delivery:
Rentee will need the equipment delivered at a EXACT time. Usually we show up 30 minutes to an hour prior to an event start time, athough there may be times we need to show up earlier based on other rentals in the day. If you need this delivered at a exact time,
a fee of 15% of rental total
will be applied as this will adjust the delivery schedule.
Accidental Damage Waiver
Contact Address
Same as Event Address
Address
City
State
Zip
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Volunteers
Games
Concessions
Tables & Chairs
Tents
Linens
Equipment
Decor
Coupon Code
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