PortaBell Rental Request Please provide as much detail as possible so we can prepare an accurate rental quote. Show TitleProduction Company(Required)Address Street Address Address Line 2 City Province Postal Code Office PhoneOffice Email Accounts, Payable Email Name First Last Contact Email(Required) Cell(Required)PortaBells / Number of Units 2 3 4 5 6 7 8 Other Rental Start Date(Required) MM slash DD slash YYYY Rental End Date(Required) MM slash DD slash YYYY Are there any scheduled hiatus days during the rental period? Yes No Not sure yet First Hiatus — First Day of Hiatus MM slash DD slash YYYY First Hiatus — Last Day of Hiatus MM slash DD slash YYYY Second Hiatus — First Day of Hiatus MM slash DD slash YYYY Second Hiatus — Last Day of Hiatus MM slash DD slash YYYY Additional Hiatus Dates / NotesIf there are more than two hiatus periods, or if the exact dates are not confirmed yet, please explain here. Example: “Two-week hiatus expected in August, dates TBD.”Ship to same as Production Address Yes No Shipping Address Street Address Address Line 2 City Province Postal Code Receiver / Contact InfoAdditional Notes / Special Requests Δ
