Equipment Borrowing Equipment Borrowing Date * Borrower's Name * In/Out: * Out In Quantity Condition at CheckOut --Choose Option--NewGoodWork with issues Condition at CheckIn --Choose Option--NewGoodWorking with issues Item Description Notes *I claim full responsibility for the above-described equipment and will return it in its original working condition.*I understand Floor Zone will create an invoice of $500 or the total value of the replacement cost under my account.This will be due until it is paid or returned to Floor Zone, at which time it will be voided. SUBMIT FORM If you are human, leave this field blank.
