Simply Fill Out this form, bring it in and you will receive 10% off your next rental! Limit one discount per customer. Offer not good with any other discounts. ************************************************************************************** Name: __________________________ Address: __________________________ ______________________________ Phone number: __________________________ How many times have you rented equipment? [ ] 0 times [ ] 1-5 times [ ] 6-10 times [ ] 11-15 times [ ] 16 or more times What was the last piece of equipment that you rented? __________________________________________ How many times have you rented party supplies? [ ] 0 times [ ] 1-5 times [ ] 6-10 times [ ] 11-15 times [ ] 16 or more times What were the last party supplies that you rented? _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ ************************************************************************************* Only good at: General Rental Center 2327 E. Semoran Blvd. Apopka, FL 32703 (407)886-2333