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Audio Rents, Inc.

1541 N. Wilcox Ave Hollywood, CA 90028


(P) 323-874-1000 (F) 460-2676
www.audiorents.com info@audiorents.com
Application for Rental

Date____________________________CID (office use)__________________________

Company / Customer
Name___________________________________________________________________

Billing Address__________________________________________________________

City, State, Zip___________________________________________________________

Phone________________________________Fax_______________________________

Contact_______________________________ Cell phone________________________

CDL____________________________ E mail_________________________________

How did you hear about us?_______________________________________________

Reference_______________________________________________________________

Credit Card
Number________________________________________________________________

Exp Date___________________________V Code______________________________

Persons authorized to
order_________________________________________________
Use
Date___________________________________________________________________

Gear____________________________________________________________________

Notes___________________________________________________________________

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