Rent A Hydraulic Hose Repair Solution

Receive lower operating costs, minimized downtime and maximized productivity.


T: +1 (407) 818-1993


E: info@southernhydraulicsmobile.com

 

W: www.southernhydraulicsmobile.com

No part of this website can be reproduced without the prior written permission of the Southern Hydraulics Mobile Inc.
Copyright © Southern Hydraulics Mobile Inc 2018. All rights reserved. T: +1 (407) 818-1993. E: info@southernhydraulicsmobile.com


1516 Kelley Ave, Kissimmee, FL 34744

Tel: +1 (407) 818-1993

Email: info@southernhydrualicsmobile.com





 


Equipment Rental Information


Equipment Rental Agreement No:  ……………………………………………………


Rental Starts on: ………………………………………             Rental Expires on: …………………………


Rental location:    ………….………………………………………………………………………………………..…………


 

Customer Information        


First Name: …………………………………………………….        Last Name: .…………………..……….………………………………..  


House No:   .……………   Street: …………………….……………………….  State: .………………………….………  Zip: ………..  


DOB: ……………………………………………………..   Social No: ……………………………………………  


Tel No: ……………………………………………………    Cell No: …………………………………………..

 

Equipment Information


        Make: SHM Hose Unit 2 Wire      or   SHM Hose Unit 4 Wire (delete appropriately)

Model: SHM Mk 1                     or    SHM Mk2 (delete appropriately)


Qty Description Checked

1 20 ft Container c/w logos  

1 Internal fitted furniture  

1 Initial parts inventory – (See attached schedule)  

1 Crimper and fittings  

1 Fitted racking and shelves  

1 Fitted generator  

1 Fitted tracker  

1 Fitted Hi-security locks  

1 Fitted lighting  

1 Fitted fire extinguisher & 1st Aid kit  

 

Rental Information

Rental Rate:           $…………………..…… Per month

Insurance Rate:       $……………………….. Per month

State Tax (13%):     $……………………….. Per month

TOTAL PAYABLE:      $……………………….. Per month


 

SECURITY DEPOSIT: $…………………………………..  

(Security deposit is fully refundable subject to terms & conditions set out herein)

 

Notes: Failure to return rental equipment upon expiration of the rental period and failure to pay all amounts due (including cost of damage to the equipment) are prima facia evidence of intent to defraud, punishable in accordance with section 812.155, Florida Statutes. These terms supersede any conflicting terms stated elsewhere.

 



Signed: ……………………………….……………….…………………………



Print Name: ……………………………………………………………………     Dated: ………………….…………………………

 


Witness Information


Name: …………………………………………………………..……….   Signature: ………………………………………………..


Address: ……………………………………………..  City: ……….……….  State: …………………..  Zip: ……….………  

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