Equipment Rental Request
Required for all equipment rentals
Rental Quote Total
*
$0-$500
$501-$10k
$10k-$250k
$250-$1m
Over $1m
Request Number
Urgency
*
Please Select
No urgency
Need onsite within 48-hours
Need onsite within 4-days
Project Number
*
Please Select
CA-558 Tejon Hard Rock
CA-9583 Acorn Ridge Casino (Ione) Prod
CO-557 - Rocky Mountain Rail
CO-570 - Jellystone
NM-526 - Pojoaque
NM-0575 Santo Domingo
TX-501 - Brady
TX-0586 - Briar Creek
TX-503 - Turner's Crossing
TX-531 - Water Wheel
TX-533 - Lometa
TX-540 - South Fork
TX-542 - Double Eagle
TX-566 - Kyndwood
TX-568 - McKinney Roughs
TX-574 - Gatehouse
WA-567 - Sycuan
Other (Not listed here)
Cost Code
*
Requestor Name
*
First Name
Last Name
Requestor Email
*
example@example.com
Today's Date
*
-
Month
-
Day
Year
Date
Required Delivery Date
-
Month
-
Day
Year
Date
Vendor Name
*
Vendor Contact Name
*
Vendor Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Vendor Email
*
example@example.com
GL/Cost Code
*
Delivery Method
*
Will Call
Supplier Delivery
List the exact name and quantity of each item you are requesting OR a copy of a quote below.
*
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Upload a screenshot from a vendor website or copy of a quote here.
Cancel
of
How long will equipment be on lease?
*
Please specify number of weeks
Rental Start Date
*
-
Month
-
Day
Year
Date
Rental Return Date
*
-
Month
-
Day
Year
Date
What is the estimated Total equipment lease cost?
*
Please note cost for the duration of the lease (total lease cost)
Will your equipment lease exceed $10,000?
*
Yes
No
Superintendent Email
example@example.com
Project Manager E-mail
*
example@example.com
Region Vice President E-mail
example@example.com
Sr. VP E-mail
example@example.com
CFO Email
example@example.com
Why do you need this equipment?
*
Notes
Submit
Should be Empty: