RUSH COMPUTER RENTALS - Leasing a Computer - renting AV equipment, servers,

It would be our pleasure to provide you with a quote for your upcoming service and equipment needs. Please complete and submit the form below, and a RUSH representative will promptly contact you with a quote.

Rental programs are for businesses only.

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First Name*

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Is your delivery address the same? Yes

First Name

Last Name

Company Name

Address

City

State/Province

Zip Code

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Specific Rental Dates

Start Date

End Date

General Request

Notebooks

Desktops

Servers

Audio/Visual

Printers

Displays

Type

Operating System

Software

Options
	56K Modem
	10/100 Enet Card

Quantity of Notebooks

Other Requirements

Type

Operating System

Monitor

Software

Options
	56K Modem
	10/100 Enet Card

Quantity of Desktops

Other Requirements

Type

Operating System

Hard Drive Configuration
Non-Swappable
Hot-Swappable

Hard Drive Size

Hard Drive Quantity

Options
	Smart SCSI ARRAY Controller
	Tape Backup

Total Memory Requirements

Quantity of Servers

Other Requirements

Type

Monitor Mounting Options
Wall Mount
Tilt Mount
Floor Stand
Desktop Stand

Peripherals
	Speakers
	DVD Player
	VCR
	TV/VCR Combo
	Portable Screen
	Overhead Projector
	Portable Sound System
	Wireless Microphone
	Video Distribution Box

Quantity of Audio/Visual Displays

Other Requirements

Type

Other Requirements

Quantity of Printers

Type

Quantity of Displays

RUSH Computer Rentals
CORPORATE OFFICE
6060 Sepulveda Boulevard Van Nuys, CA 91411
Phone: 800.343.7368 Fax: 818.786.4334
Email: info@rushcomputer.com

Copyright � 2010 RUSH Computer Rentals. All Rights Reserved.