JLG400S

Step 1 of 5

Type of Rental Package(Required)

Number of days ( Daily Rate)(Required)

Number of days ( Weekly Rate)(Required)

Number of days (Monthly Rate)(Required)

Price per Day

Rental Start Date(Required)

Total

Booking Details

Machine Pickup/ Delivery(Required)

Address for Machine Usage/ Delivery

Street Address ZIP / Postal Code

Hiring a Machine Operator

Do you need an operator?

How many days? ( $80 per day)

Start date same as Machine delivery date

Start Date ( for Machine Operator )

Company Name

Company Address

Street Address ZIP / Postal Code

Name(Required)

Name

Contact Number(Required)

Total Amount :

Total rental with delivery charges if applicable

Total Amount :

Total rental with delivery charges if applicable ( Weekly discount Rate applied)

Total Amount :

Total rental with delivery charges if applicable (Monthly discount rate applied)