Rental Reservation Form

First Name:
Last Name:
Address:
City & State:
Home/Business Phone:
Cell Phone:
Best Time to Call:
Email Address:
Item to Rent: Qty
Item to Rent: Qty
Item to Rent: Qty
Item to Rent: Qty
Item to Rent: Qty
Rental Start Date: Start Time
Rental End Date:   End Time
Would You LIke Delivery?
(Delivery and pickup available Monday thru Saturday between 8:00am and 4:30pm.)
Questions or Comments:

Valid driver's license and full payment of rental required at time of pickup.

You should receive a confirmation of your pick-up within 24 hours (excluding Sundays when we are closed).

Thank You for using Longenecker's True Value.




PENNSYLVANIA HOME IMPROVEMENT CONTRACTOR NUMBER 016411

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    CALL US WITH YOUR QUESTIONS!      
  717.665.2491(Store)  717.665.2020 (Rental) 
717.665.7109 (Fax)

or by email at info@longeneckerstv.com

MANHEIM SHOPPING CENTER       127 Doe Run Road       Manheim, PA 17545

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