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home
proton pack
Ecto Plate
keymaster helmet
Stay Puffed
About
contact
New Rental/Client Info. Form
Contact Name
*
First Name
Last Name
Company
*
Email Address
*
Phone Number
*
(###)
###
####
Job Name
*
PO Number
When is your prep day (or first day)?
MM
DD
YYYY
How many shoot days is your project?
1
2
3
4
5
6
7
Multi-week/Long form
Shipping Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Billing Address (if different)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are you tax exempt in New York State?
*
If tax exempt you will be asked to provide form ST-121.
Yes
No
I'm not based in NY state
Shipping Payment Method
*
Please let us know your preferred method for payment of shipment costs.
I'm local to NYC. I'll pickup in person.
I'll use my own Fedex account.
I'll use my own UPS account.
Please have backpackrig pay up front & add to my invoice.
Shipping Account number
Please provide your preferred shipping account number here (if applicable).
What are you planning to rent?
*
(please select)
Proton Pack
Keymaster Helmet
Both
What camera are you shooting with? (for Proton Pack rentals only)
What Camera are you using?
What kind of rangefinder are you using? (for Proton Pack rentals only)
CineTape
Lightranger
Sniper
Special Notes?
Please let us know if you have any specific requests, instructions or questions regarding your rental.
Thank you for the info!