Simplicity Carpet Extractor Rental Form
For Fast Checkout Service at the store, Fill out the form below and we will have it ready for you!



First Name:  M.I.:  Last Name:  

Current Local Address :  

Apt #:   City:    State:   Zip: 

Mobile Phone:    Home Phone:    At least one phone number required

Email Address:  

*Current Drivers License or other acceptable form of photo ID is required at time of pickup.

Pickup Date/Time:     Please verify hours of operation for day of pick up.

Need it longer than 24 hours?  Choose the 48 hour option and get the 2nd day for just 15.00 more!

Desired Equipment:   Hand tool?  Prices are plus tax. 

Pick-up Location:  


Please enter the following code into the box provided:

 



Please Note: There is a cleaning charge of 10.00 if the rental equipment is not returned cleaned. Additional charges apply to late returns.