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2. 
3. EGR Equipment Rental Confirmation
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.
18. Bike Racks

    1. Bike Racks - $5 each
19. # of Bike Racks requested
20. # of Bike Racks Reserved
22. Rolls of Mesh Fabric (approximately 100 ft. rolls)

    1. Rolls of Mesh Fabric - $15 each
23. #of Rolls of Mesh Fabric requested
24. # of Rolls of Mesh Fabric Reserved
26. Lime Green Cones

    1. Lime Green Cones - $1 each
27. # of Lime Green Cones requested
28. # of Lime Green Cones Reserved
30. Additional items reserved and reservation notes.
34. Equipment Pick Up Location
    Public Works Complex - 2310 Reeds Lake Blvd., East Grand Rapids, MI 49506
36. Pick Up/Return contact if different from above contact.
38. Requested Pick Up Date/Time*
    Requested Pick Up Date/Time

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

    Requested Return Date/Time
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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field