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Short Term Rental Equipment

This form is for short term rental on Basic Cellular Phones (less than 6 months) and 2 Way Radios.

If your need for a cellular phone exceeds 6 months, you should consider purchasing the device.
For more information visit our pages for Cellular Phones.

Pagers can be rented for a minumum of 2 months. Fill out the Pager Form.

*Required
Department and Billing Information

Requestor name: *
Phone Number: *
Department: *
Department Number  
FRS Code: *
Department Head's Name:  
Has the department head authorized this request? * Approval is required.  By indicating "yes", your department agrees to pay for all charges that pertain to this request.
Pick-up Date: *
Return Date: *

Equipment to be Rented

Quantity
Basic Cellular Phone       Charger Type: Wall Car Both
2 Way Radio's

Comments:


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Updated: 10/01/2009