Name (Lesee) *
Organization Name (if applicable)
Address *
City, State & Zip *
Phone *
Cell Number
Email address *
Date & time items will be picked up *
Date & time items will be returned *
Items requested
 8ft tables ($3.00each) Civic Groups
 Folding chairs $0.50 Civic Groups
 8ft tables $6.00 each non civic
 Folding chairs $0.80 each non civic
 5ft Round tables $8.00
Quantity tables
Quantity chairs
Quantity round
Money is due upon returned items. I, THE UNDERSIGNED, DO HEREBY AGREE TO RETURN THE ITEMS BORROWED ON THE DATE INDICATED AND IN THE SAME CONDITION AS WHEN THE ITEMS WERE RELEASED TO ME. ANY DAMAGE WILL BE ASSESSED AND WILL BE THE DECISION OF THE CIVIC E
Comments
I have viewed the proper return pictures *
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