Company* Name* First Last Phone*This field also accepts international numbers. (Our staff may not be able to make international calls so please check your email for communications if you were not able to provide a US phone number. Thank you.)Email* Show/Event Name* This is a Deposit?*Please ChooseYESNOEventEQ Show Number* This is the number that is located on your quote or deposit invoice.HiddenEquipment Rental SubtotalHiddenNumber of Rental DaysHiddenRental SubtotalEquipment Rental Subtotal x Number of Days Rented (Max 3)Amount to charge to credit card* 3% Credit Card SurchargeGrand TotalAuthorize.net Total Price: $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name We impose a surcharge of 3% on credit card transactions, which is not greater than our cost of acceptance. A summary of your transaction is below. Please review for accuracy. Once you have confirmed the amount is correct, please click the "Place Order" button to complete your transaction. Transaction Overview Company: {Company:68} Show/Event Name: {Show/Event Name:116} This is a Deposit?: {This is a Deposit?:117} EventEQ Show Number: {EventEQ Show Number:74} Equipment Rental Total: {Amount to charge to credit card:88} 3% Credit Card Surcharge: {Credit Card Surcharge – 3%:89} Grand Total: {Grand Total:121}
