Residential customers:
  • Contact name
  • Mailing address
  • Physical address (required if mailing address is a P.O. Box)
  • Telephone number
  • Cell phone number
  • Location address
  • Location telephone
  • Product type (ex. Flush unit, VIP unit)
  • Quantity
  • Options (ex. Sensor light, Sink)
  • Delivery date
  • Pick up date
  • How long is the event?
  • How many people?
Commercial customers:
  • Company name
  • Contact name
  • Mailing address
  • Physical address (required if mailing address is a P.O. Box)
  • Telephone number
  • Cell phone number
  • Location address
  • Location telephone
  • Product type (ex. standard unit, VIP unit)
  • Quantity
  • Options (ex. hand sanitizer, sling, anchoring)
  • Delivery date
  • Pick up date
  • How long is the event?
  • How many people?