VannGo Luxury Mobile Restroom Trailers
Rental Agreement
Customer Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
E-mail
Event Date
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Month
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Day
Year
Date
Event Finish Time
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Hour
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Minutes
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PM
AM/PM Option
Event Start Time
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Hour
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Minutes
AM
PM
AM/PM Option
Event/Delivery Address
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Sources Available at Event Site (within 50 Feet of Where Trailer Will Park)
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YES
NO
Water/Spigot
Do You Have a Garden Hose?
Electric Connection (20 amp outlet, we supply cord)
Sewer Connection for Waste (FOR Long Term Rentals Only)
Event Contact/Delivery Details
*
RENTAL RATES
(Select All That Apply) All items are taxable unless Tax Exemption Form is submitted with rental agreement. *WEEKLY & MONTHLY Rental Options Require (1) cleaning/service minimum per week and are not eligible for pro-ration in any way. Prices vary by unit and distance to location.
2 ROOM PICASSO RESTROOM TRAILER OPTIONS (No Urinal In Men's Room)
DAY/EVENT - $649
2-7 DAY/WEEK - $975
4 WEEK/MONTH - $1,795
CHOOSE RENTAL DURATION
2 ROOM VANNGO RESTROOM TRAILER OPTIONS
DAY/EVENT - $795
2-7 DAY/WEEK - $1,195
4 WEEK/MONTH - $2,195
CHOOSE RENTAL DURATION
3 ROOM VANNGO RESTROOM TRAILER OPTIONS
DAY/EVENT - $995
2-7 DAY/WEEK - $1,495
4 WEEK/MONTH - $2,725
CHOOSE RENTAL DURATION
4 STALL MONET RESTROOM TRAILER OPTIONS
DAY/EVENT - $1,195
2-7 DAY/WEEK - $1,795
4 WEEK/MONTH - $3,295
CHOOSE RENTAL DURATION
PORTABLE GENERATOR OPTIONS (If no power is available onsite)
DAY/EVENT - $125
2-7 DAY/WEEK - $195
4 WEEK/MONTH - $349
CHOOSE RENTAL DURATION
DELIVERY CHARGE: (No Charge within 40 miles of our Murfreesboro Facility. Anything outside of 40 miles incurs $4/mile charge one way only) Facility Address is 6817 Lebanon Road, Murfreesboro, TN 37129.
QUOTED CHARGE/CALCULATED CHARGE (include total miles used for calculation)
Additional Notes
Include any details you'd like us to be aware of.
Restroom Attendant Service ($32.50/Hour per Attendant)
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Yes
No
Select Yes or No
CUSTOMER'S MAILING ADDRESS
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Street Address
Street Address Line 2
City
State / Province
Zip Code
PAYMENT DETAILS
Payment Info (include Name, #, Exp., Security Code and Billing Address)
I authorize VANNGO/ACCORD PRODUCTION SERVICES to charge the above card for (CHECK ONE):
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50% of the invoice
the full amount of my invoice
BRIDE & GROOM'S MARRIED NAMES (If Applicable)
*
Restrooms For a Reason Charity Choice (Select One)
*
A Soldier's Child
American Red Cross
Habitat For Humanity
Nourish Food Bank
Room In the Inn
Other
Terms and Conditions: Upon deposit payment, customer accepts all terms & conditions as stated.
Customer Signature
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Submit
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