Rental Application Form: Please complete the form below, otherwise give us a call at 262-893-5388 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Customer Name *FirstLastBilling Address & Zip Code: *City and State *Phone Number *Email *Equipment Delivery/Location *City and State *Contact Name (On Site) & Phone *Helpful Directions/ConcernsEquipment Hauling *$125 hr. (Heavy Equipment)$75 hr. (Compact Equipment)Insurance Information. (We DO NOT Offer/Provide Insurance) *Contractors/Business Owners: (Required to provide a Certificate of Liability, including equipment coverage, general liability, and name Beechwood Rentals as additional insured.)Homeowners: (For individuals that cannot provide a Certificate of Liability or equipment coverage, please know that we are not providing coverage for you. List below your Home Owners Insurance in the event an accident would occur on your property with the use of our equipment, further details are provided here in the Terms & Conditions of Contract.)Rental Information: *4 Hrs. (No Meter)Daily (24 Hrs)Week (7 days)Month (4 weeks)Reservation Start Date *Additional Terms Of Rental: *Customer is providing ANSI approved harness for each occupant/operator.Add Harness to RentalCustomer is responsible for notifying Beechwood Equipment Rentals to reserve additional time if needed. We cannot extend or refund payment due to inclement weather. Weekends are considered rental days. Your rental is also calculated by an hour meter; if you exceed your allowed meter hours for the time frame rented; additional charges may apply. Extra hours are calculated at $25.00 per hour limited to 8 hrs. per day/40 hrs. per week.Rental Item 1 Description: *Rental Item 2 Description: Signature *By typing your name in the field above, you agree that this constitutes your legal (e-signature) signature and that you are thereby bound by all of the covenants associated with renting equipment from Beechwood Equipment Rentals in Hubertus, WI.Date: *Submit Equipment Hauling: