Stoughton Lumber

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Credit Application

Customer Support

Rental Form

CUSTOMER

LAST NAME: FIRST NAME:

ADDRESS1:

ADDRESS2:

CITY: STATE: ZIP: PHONE:

REQUESTED RENTAL DATE:
ESTIMATED PICKUP TIME: WILL ITEM NEED TO BE DELIVERED:

DELIVERY ADDRESS:

ADDRESS1:

ADDRESS2:

CITY: STATE: ZIP: PHONE:

DURATION OF RENTAL: 4 HOURS 1 DAY 1 WEEK 4 WEEKS

REQUESTED ITEMS:

	ITEM #	DESCRIPTION

PLEASE NOTE:

THIS FORM IS PURELY A REQUEST. THIS REQUEST DOES NOT GUARANTEE THE RENTAL OF

THE ITEM. RENTAL IS BASED ON AVAILABILITY. THE RENTAL DEPARTMENT WILL CONTACT

YOU ONCE THEY RECEIVE YOUR REQUEST.

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Note: Pricing subject to change at any time. Please call for most accurate up to date pricing.
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*We reserve the right to charge for mileage outside of the Madison, WI surrounding communities.