Swiftspace Rental Application

Company Name*

Address *

Your Name*

Phone*

Email*

Number of Stations Required*

Estimated Rental Period*
From to

Delivery Address (if different than the address above)

After hours delivery required?
Yes No

Does the delivery address have a loading dock with clear access to the delivery area?
Yes No

Are there stairs at any point of delivery?
(including the entrance to the building)
Yes No

Disclaimer
This is a contract of renting only and not of sale, the undersigned renter agrees that he has rented the item(s) herein described upon the express condition that it will at all times remain property of the rental agent named above, that he has examined said item, found it to be in good condition and will return it in as good condition as when he received it, ordinary wear and tear excepted; that he will return at once to the rental agent any item not functioning normally; that he will pay promptly when due all charges which accrue because of this rental, including damages to said item. In the event the renter fails to return said item at the agreed time, or fails to abide by any of the other terms of this contract, the rental agent may repossess it without notice to the renter, and the rental agent is hereby released from all claims arising therefrom. All charges are based on the time the item is in the renters possession whether in use or not. The rental agent is not responsible for accidents or injuries caused directly or indirectly in the use of the rented item

  I have read and accept the above disclaimer.

Please enter the word you see in the image below:

Send Rental Application