Pittsburghlenses.com New Customer Rental Request
Fill out this information to get started renting from Pittsburghlenses.com!
Name *
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E-mail Address *
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Business Name (If Applicable)
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Address *
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City/State/Zip *
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Primary Phone # *
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Secondary Phone #
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Are you a.... *
Choose One
Website
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Primary Platform *
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Preferred Location for Pickup/Return *
How did you find out about us? *
Pick Up Date *
We just need an approximate time
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Time
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Return Date/Time *
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Time
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Are you interested in a Pittsburghlenses.com Membership?
Rent five times per year and it pays for itself!
Item(s) you're interested in renting *
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Are there any items we don't have listed or don't carry that you'd be interested in renting?
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Do you currently carry liability insurance?
It's not a problem if you don't, we just need to know
Comments/Questions
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I have reviewed the rental agreement (https://goo.gl/HywBpZ) and agree with the terms and conditions specified there in. *
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