Miami Portable Dance Pole & Stage Rental Form

Inquiring For:

Rentals
Purchases
Other
Looking For Help & Ideas

Responsible Party Name: *

First

Last

Company (if applicable):

Email *

We'll Reach Out via SMS: *

Best Contact Number for the Stage Tech

Date of the Event: *

I'm Interested In (choose all that apply) *

Number of Units Desired:

1
2
3+
n/a

Nearest Location: *

Stage Setup Address (if applicable)

Address Line 1

Address Line 2

City

State

Zip Code

Type of Event/Production: *

Ceiling Height *

Stage Need to Go Upstairs or Elevators? *

Length of Rental *

24 hr One-Off/Single Day
3 Day ex. Fri-Sun
Weekly
Custom

Preferred Delivery Time (if applicable) *

Payment Method of Payment

COI Avail? *

Yes
No
Not Sure What This Is

Ask Away or Tell Us More About Your Project:

If Prompted, Enter Driver License Number and State Here

File Upload (optional)

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Upload COI's, license copies, venue pics or attach any files you feel will help.

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Locations

800.983.6640

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Miami Inquiry Form