Lightning Wireless Solutions

Rental Quote Request

 

Your Information

 
* First Name:
* Last Name:
* Company:
* Address:
* City:
* State:
* Zip:
* Phone:
* Email:
* What is the best way for us to contact you?:

Billing Information (if different from above ):

 
First Name:
Last Name:
Address:
City:
State:
Zip:

Shipping Information (if different from above ):

 
First Name:
Last Name:
Address:
City:
State:
Zip:

Rental & Event Information:

 
Event Name:
Rental Start Date:
Rental End Date:
Delivery Method:
 

Quantity of Equipment Needed:

 
Portables:
Mobiles:
Base Stations:
Repeaters:
Surveillance Kit:
Remote Spkr Mic:
Light Duty Headsets:
Heavy Duty Headsets:
Spare Batteries:
 
Notes if any special programming needed:
Do you need us to provide you with an On-Site Support Staff?:
How did you hear about us? :
 
Association Name if any?:
 

Please let us know if there is any other Equipment or Accessories not listed here that you may be interested in receiving a quote.

 

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