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2. 
3. EGR Equipment Rental Request
5. First Name*
6. Last Name*
8. Email*
9. Phone Number*
11. Organization and/or Event Name*
12. Date of Rental Event*
    Date of Rental Event

    Date of Rental Event
16. Rental Expectations
    Equipment rental is subject to availability. Quantities and availability will not be guaranteed until your request has been processed and confirmed. Renters will receive an email confirmation when your requested has been processed. Renters will be charged for any equipment that is damaged or lost. Payment is due prior to equipment pick up.
18. Bike Racks

    1. Bike Racks - $5 each
19. Number of Bike Racks requested
21. Rolls of Mesh Fabric (approximately 100 ft. rolls)

    1. Rolls of Mesh Fabric - $15 each
22. Number of Rolls of Mesh Fabric requested
24. Lime Green Cones

    1. Lime Green Cones - $1 each
25. Number of Lime Green Cones requested
27. Additional items available for rent.

    1. Please contact me with information and pricing on additional items that may be available (barricades, award stand, no parking stakes, safety vest, etc.).
31. Equipment Pick Up Location
    Public Works Complex - 2310 Reeds Lake Blvd., East Grand Rapids, MI 49506
33. Pick Up/Return contact if different from above contact.
35. Requested Pick Up Date/Time*
    Requested Pick Up Date/Time

    Requested Pick Up Date/Time
36. Requested Return Date/Time*
    Requested Return Date/Time

    Requested Return Date/Time
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field