Equipment Borrowing Date Borrower's Name In/Out: OutInQuantityCondition at CheckOut--Choose Option--NewGoodWorking with IssuesCondition at CheckIn--Choose Option--NewGoodWorking with Issues Item DescriptionNotes*I claim full responsibility for the above-described equipment and will return it in its original working condition.*I understand Floor Zone will create an invoice of $500 or the total value of the replacement cost under my account. This will be due until it is paid or returned to Floor Zone, at which time it will be voided.Submit Form