Rental Request Form
 
Please use the following form to submit a rental request to ON-LINE Computer Services.  A representative will contact you to confirm your order and finalize the rental arrangement.  For further information please contact Rentals at 422.1171 or call toll free in North America at: 1.866.6 ON-LINE (1.866.666.5463), or contact us via email.
 
ON-LINE Computer Services
Rental Request Form
Name:
   
Email: 
   
Phone Number:
   
Event:
   
Rental Start Date:
    Day:   Month:   Year:
Rental End Date:
    Day:   Month:   Year:
 
Please indicate number of desired rental components:
 
Desktop Computers
 
  P4 1.4 GHz Desktop Computer
  P4 1.4 GHz with 56K Modem Desktop Computer
  PIII 866 MHz Desktop Computer
 
Monitors
 
  19" IBM Monitor
 
Notebook Computers
 
  Acer Travelmate 270 - P4 1.6 GHz Notebook Computer
  IBM Thinkpad - Celeron 433 MHz Notebook Computer
 
Printers
 
 Citizen PN 48 Notebook Printer
 HP LaserJet 6P B&W Laser Printer
 HP LaserJet 4100 B&W Laser Printer
 HP LaserJet 4500 Colour Laser Printer
 
Network Components
 
  24 Port 10/100 MB/s Switch
  Broadband Router/4 Port Switch
  Wireless Router
 
Miscellaneous Components
 
  Backpack CD-Reader/Writer (Burner)
  Brother MPC 4800 Laser FAX/Copier
  Brother Intellifax 2800 Laser FAX/Copier
  Panasonic PX-5 FAX Machine
 
  Delivery & Pick Up Required ($75 Charge)
Note: Rental equipment may be picked up and returned at our offices, Suite 101, 5663 Cornwallis Street (close to downtown), at no charge.
  Setup Required
Note: Variable charges based on requirements. Please contact us to have a detailed quotation provided.
Location
 
Additional Requirements/Comments

Note: Equipment subject to availability and distributed on a first come/first served basis.
 
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