Request edit access
Rental Request Form - Chronos 1.4 ONLY now(Chronos 2.1-HD available for rental by fall 2019).
Thanks for considering the Chronos 1.4 for your high speed needs. This form will get a jump start on the rental process. We just need a couple of bits of info before we get started. Also, don't forget to submit your rental agreement sent with this form. Please note that the Chronos 2.1-HD will be available for rental by September 2019
Primary Contact Email Address *
Your answer
Name of Primary Contact *
Your answer
Company Name *
Your answer
Shipping contact Name *
Your answer
Shipping contact Phone number *
Your answer
Shipping contact Email *
Your answer
Shipping - Street name *
Your answer
Shipping - City name *
Your answer
Shipping - Province/State
Your answer
Shipping - Postal/ZIP code *
Your answer
Shipping - Country *
Your answer
Is the shipping address the same as the billing address? *
Please include a billing address if needed.
Your answer
What RAM memory option would you like to get? *
Will you need a Color or Monochrome sensor? *
What day will you need the camera by?
MM
/
DD
/
YYYY
How long will you be needing the camera? (including week-end days) *
Your answer
Are there any additional accessories that you require?
Submit
Never submit passwords through Google Forms.
This form was created inside of Kron Technologies Inc.. Report Abuse - Terms of Service
Google Forms