A&H Rents
 10241 Hole Avenue w Riverside CA  92503 w Store: (951) 689-2705 w Fax: (951) 689-2318  

 Party Rental Reservation Inquiry Form
  1. Fill this form out. ●  2. Print out this page. ●  3. Fax it to our office, with this completed fax cover sheet (pdf)
A Party rental representative will Fax a quote back to you - or call if more information is needed. 
This will help facilitate your ordering procedure. Orders by email are not available at this time.
Please note: There is a $50.00 ORDER MINIMUM FOR DELIVERY!  PLUS DELIVERY SERVICE CHARGE.

Current Date: / / (MM/DD/YY)          Requested Delivery Date: / / (MM/DD/YY)

Name:      CA Drivers Lic # :

Address:    City:    State:    Zip:

Home Phone:   Cell Phone:  Work Phone:  Ext:

Day of Event: / /           Time of Event:: AM / PM

Check one: Office Pick Up/Return      Truck Delivery/Pick up

Delivery Name (If different than above):   Delivery Phone:

Delivery Address:  City:  State:  Zip:

Date Customer Return: / /      or    Date Truck Pick-up: / /

Ordered by: 

Quantity

Description

Price Each

Total Price
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $
    $ $

Sub Total

 $

Please quote for delivery charge

  

Please quote for cleaning/breakage Deposit

  

 

  


All prices are subject to change without notice.  Monthly rates available on all items.  MasterCard & Visa Accepted. ATM in store.