Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Method of Communication *

Email

Phone Call

Text

What furniture are you interested in?

Fitzgerald Theater Chairs

Goldie Velour Chair & Footstool

Sea Foam Velour Clam Chair

Paisley Velour Loveseat

Green Velour Chesterfield Sofa

Length of Rental Period

1 Hour

2 Hours

3 Hours

24 Hours

Preferred Pick Up Date

MM

DD

YYYY