Place Order

To complete your request, please fill out the information below.

Please note: The initial payment of $99 includes both your first month’s rent and the deposit. Moving forward, the monthly cost will be $49 plus tax

Request for Delivery

Address Information

First
Last

Address Information

Address

Personal / Reference

Employment Information

Request for Delivery – Residential

What Are You Interested In?
Equipment Requested
LINK
Acknowledgment of Terms
Request to Relocate Machines

Contact Information

First
Last
Time

NOTE: Relocations are not done same day; pickup will be first and then delivery will be the following day.

Address Information
Address

New Address (where you'd like the appliance to be moved to

Relocation Details
Written Permission to Enter
Pet Containment
Special Instructions
Is your unit located above floor/ground level?
Does your unit have access to an elevator?

Please read and the Conditions below and check to indicate your agreement.

Service Charge
Dry-Run Fee
Total

Request for Pickup

Contact Information

First
Last
Time

NOTE: Relocations are not done same day; pickup will be first and then delivery will be the following day.

Address Information
Address

Pickup Details

Available Items
Special Instructions
Pet Containment
Is your unit located above floor/ground level?
Does your unit have access to an elevator? *

Please read and the Conditions below and check to indicate your agreement.

Dry-Run Fee
Remaining Days Billing
Cleaning Fee
Total

Request for Maintenance

Contact Information

First
Last
Time

Address Information
Address

Maintenance Details

Written Permission to Enter
Pet Containment

Please read and the Conditions below and check to indicate your agreement.

Dry-Run Fee
Total