EQUIPMENT RENTAL ORDER

HAULIN' WHEELS TRAILER RENTAL ORDER FORM

Located at : 920 W Chatham St, Cary, NC 27511
Appointment (Pick up)*
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
Drop-off only $75Pick up only $75Drop-off and Pickup $150Customer Pickup/Return $0
Trailer Drop-off Address

Street Address

Street Address Line 2

CityState

Zip Code
Date/Time of Drop-Off

DayMonthYear
Date
Hour MinutesAM/PM Option
Trailer Pick up Address

Street Address

Street Address Line 2

CityState

Zip Code
Date/Time of Pick Up

DayMonthYear
Date
Hour MinutesAM/PM Option
5x8 Utility Trailer — 24 Hours — $505x8 Utility Trailer — Weekend (Fri–Sun) — $1205x8 Utility Trailer — 7 Days — $3006x12 Enclosed Cargo Trailer — 24 Hours — $806x12 Enclosed Cargo Trailer — Weekend (Fri–Sun) — $1906x12 Enclosed Cargo Trailer — 7 Days — $5257x14 Enclosed Cargo Trailer — 24 Hours — $1007x14 Enclosed Cargo Trailer — Weekend (Fri–Sun)— $2407x14 Enclosed Cargo Trailer — 7 Days — $60014K Equipment Trailer — 24 Hours — $13514K Equipment Trailer — Weekend (Fri–Sun)— $32514K Equipment Trailer — 7 Days — $810
Total*
CONTACT US FOR ASSISTANCE:

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

Payment Amount*

USDDescription

Signature*

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HAULIN' WHEELS TRAILER RENTAL ORDER FORM