Event Rental Form Event Rental Item Form Step 1 of 3 33% This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Yard Sign RentalsSelect which package you prefer. Generic phrases and ten (10) miscellaneous items OR Custom phrases and miscellaneous items. *Renter is responsible for pick-up and drop-off of all rental items*Generic Phrase + Ten (10) Miscellaneous Items QuantityPhrases include: 'Congratulations', 'Welcome', 'Happy Birthday', 'Ribbon Cutting', 'Happy Graduation'. Plus, ten (10) miscellaneous items (stars, balloons, images, character). Price: $50.00 Quantity Generic Phrase and description of miscellaneous items wanted.Please choose which phrase you would like. *Renter is responsible for pick-up and drop-off of all rental items*Congratulations + Balloons & StarsHappy Birthday + Balloons & Party iconsRibbon Cutting + StarsHappy Graduation + Grad icons & StarsWelcome + StarsCustom Phrase + Miscellaneous Items QuantityCustomize your phrase by adding a name, more personalized greeting or add more decor pieces! (Form will be sent upon completion) Price: $75.00 Quantity Custom Phrase and Miscellaneous items wanted.Please provide the custom phrase, colors and items you would like. *Renter is responsible for pick-up and drop-off of all rental items*Table & Table Cover RentalsRent up to six (6) high top tables and table covers (blue and red only). *Renter is responsible for pick-up and drop-off of all rental items*High Top Tables QuantityRent up to six (6) high top tables. The price is $10 per table. Price: $10.00 Quantity Red High Top Table Covers QuantityRent up to six (6) red high top table covers. The price is $5 per cover. Price: $5.00 Quantity Blue High Top Table Covers QuantityRent up to six (6) blue high top table covers. The price is $5 per cover. Price: $5.00 Quantity Speaker & Microphone Rental*Renter is responsible for pick-up and drop-off of all rental items*Speaker & Mic Rental QuantityOne (1) speaker and one (1) wireless microphone. Price: $50.00 Quantity Subtotal Name First Last Email Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Shipping Address Same as billing address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date Needed(Required)Urbandale Chamber will be in contact upon submission with date confirmation. MM slash DD slash YYYY PICK-UP ONLY(Required) Member understand rental of large letters, table and table covers, speaker and microphone does not include delivery or set up and tear down. Delivery and pick-up are the members’ responsibility.PAYMENT IN FULL(Required) Member agrees to the rental fee to be paid in full prior to pick up.LATE FEE(Required) Member understands the rentals must be returned within two (2) days post event. If the equipment is not returned by 5 p.m. on the 2nd day, an automatic $25 fee per day will be charged to the card on file.CONDITION OF ITEMS(Required) All items must be returned in good (clean) and operating condition upon return. If any item is broken, bent, scratched, has water damage, damaged in any way or lost, the card on file will be charged $20 per letter, $60 per table, $20 per table cover, $200 for speaker, $50 per microphone and $10 per microphone cord.CARD ON FILE(Required) Member agrees to provide payment in full prior to pick up. Furthermore, the Member agrees the card on file will be used to pay the fees outlined in the agreement for any items returned damaged, soiled, lost or broken.CARE AND OPERATION OF EQUIPMENT.(Required) The equipment may only be used and operated in a careful and proper manner. The Member can make no alterations to equipment such as painting, drawing, bending, taping or puncturing the items. The owner will maintain the equipment in good repair and operating condition, allowing for reasonable wear and tear. If equipment is returned in damaged or soiled condition, $20 per letter, $60 per table, $20 per table cover, $200 for speaker, $50 per microphone and $10 per microphone cord will be charged to the card on file.AGREEMENT(Required) By submitting the form, you agree to the above terms and conditions.Total*You will be invoiced on your Urbandale Chamber of Commerce account* This field is hidden when viewing the formCredit CardReplace this field with a field specific to your payment gateway whenever possible.