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Equipment Pickup Confirmation
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HC Pro Job#
*
Customer PO/Order Number
Picked Up By (HC Pro Representative Name)
*
First
Last
Date Picked Up
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Property or Client Returning Equipment
*
Equipment Returned By (Client Name)
*
First
Last
(CLIENT) I Have Confirmed Return of and Visually Checked All Equipment Returned
*
Yes I agree
I Have Read and Agree to the Equipment Rental Damages Policy Below
*
Yes I agree
Damages are charged on a per piece basis: * Lost Proprietary Cables or Parts - %25 of Equipment Rental Fee * Abrasive Damage - %25 of Equipment Rental Fee - i.e. new scuffs or marks on equipment that was not there upon delivery. * Physical Damage - %25 of Equipment Replacement Fee - i.e. crushed corners, cracks/gouges in housing, broken parts, knobs, faders, etc. * Functional Damage - %50 of Equipment Replacement Fee - i.e. damage that affects the over functionality or end use of a piece of equipment such as broken ports, broken lenses, damage the renders a unit unfunctional, or return of equipment in a non-functional state when known good upon delivery.
Signature of Client Returning Gear
*
Clear Signature
(HC PRO) I Have Confirmed Return of and Visually Checked All Equipment Returned
*
Yes I agree
Signature of HC Pro Representative Receiving Equipment
*
Clear Signature
Submit