EQUIPMENT RENTAL ORDER

HAULIN' WHEELS TRAILER RENTAL ORDER FORM

Located at: 920 W Chatham St, Cary, NC 27511
Trailer Reservation Date/Time for Pickup and Drop-off*
Customer Name*

First NameMiddle NameLast Name
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload Photo of ID (Driver License)*

Cancelof
Upload Photo of Insurance*

Cancelof
Insurance Name
Policy Number
Vehicle Make and Model*
Trailer Delivery Drop-off/Pickup*

Drop-off only $50Pick up only $50Drop-off and Pickup $100Customer Pickup/Return $0
Trailer Delivery Drop-off Address

Street Address

Street Address Line 2

CityState

Zip Code
Date/Time of Drop-Off

DayMonthYear
Date
Hour MinutesAM/PM Option
Trailer Delivery Pick up Address

Street Address

Street Address Line 2

CityState

Zip Code
Date/Time of Pick Up

DayMonthYear
Date
Hour MinutesAM/PM Option
Trailer Rental Price*

5x8 Utility Trailer — 1 Day (24 hours) — $505x8 Utility Trailer — 2 Days (48 hours) — $1005x8 Utility Trailer — 3 Days (72 hours) — $1355x8 Utility Trailer — 4 Days — (96 hours) — $1805x8 Utility Trailer — 5 Day (120 Hours) — $2255x8 Utility Trailer — 6 Day (144 Hours) — $2705x8 Utility Trailer — 7 Day (168 Hours) — $3157x12 Enclosed Cargo Trailer — 1 Day (24 Hours) — $807x12 Enclosed Cargo Trailer — 2 Days (48 Hours) — $1607x12 Enclosed Cargo Trailer — 3 Days (72 Hours) — $2207x12 Enclosed Cargo Trailer — 4 Days (96 Hours) — $2907x12 Enclosed Cargo Trailer — 5 Days (120 Hours) — $3607x12 Enclosed Cargo Trailer — 6 Days (144 Hours) — $4307x12 Enclosed Cargo Trailer — 7 Days (168 Hours)— $5107x14 Enclosed Cargo Trailer — 1 Day (24 Hours) — $1007x14 Enclosed Cargo Trailer — 2 Days (48 Hours) — $2007x14 Enclosed Cargo Trailer — 3 Days (72 Hours) — $2707x14 Enclosed Cargo Trailer — 4 Days (96 Hours) — $3607x14 Enclosed Cargo Trailer — 5 Days (120 Hours) — $4507x14 Enclosed Cargo Trailer — 6 Days (144 Hours) — $5407x14 Enclosed Cargo Trailer — 7 Days (168 Hours) — $63014K Equipment Trailer — 1 Days (24 Hours) — $13014K Equipment Trailer — 2 Days (48 Hours) — $26014K Equipment Trailer — 3 Days (72 Hours) — $35014K Equipment Trailer — 4 Days (96 Hours) — $47014K Equipment Trailer — 5 Days (120 Hours) — $59014K Equipment Trailer 6 Days (144 Hours) — $70014K Equipment Trailer 6 Days (168 Hours) — $820
Where will the trailer be used (Destination)?*
Local use includes up to 100 miles. Trips exceeding 100 miles may incur an additional fee of $0.40 per mile. Final pricing will be confirmed after submission, and the card on file will be charged accordingly. All trip details must be accurate—any discrepancies in mileage or destination may result in additional charges to the card on file.
What will you be hauling?*
Total*
CONTACT US FOR ASSISTANCE:

919-298-1072 / HaulinWheels@outlook.com
Trailer Rental Agreement Form

Payment Amount*

USDDescription

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Signature*

*Sign if you are agree with the term & conditions
Type a question
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HAULIN' WHEELS TRAILER RENTAL ORDER FORM

CONTACT US FOR ASSISTANCE: