Rental Form for Other Items - Buy, Rent, Pay in Installments

Rental Application for Other Items

This form is for our other rental items: wheelchair, oxygen concentrator, chest freezer, gimbal, etc.

Name *

Phone *

Complete Address *

Address Line 1

City

State / Province / Region

Email *

Confirm Email

Rental Details

What item are you renting? *

Wheelchair
Oxygen Concentrator
Gimbal
Chest freezer

Please choose one of the following rental items.

Number of days to rent

Preferred Rental Start Date

Reason for Renting *

Please let us know what you'll be using the rental laptop for. (ex. school, work, event, online exam)

Notes

Let us know if you have any comments regarding your rental request.

Aside from the Security Deposit, we will also be collecting your valid ID. We will hold onto your ID and return it at the end of the rental period. Are you okay with this? *

For security purposes, we collect 1 valid ID and hold onto it until the end of the rental period. Rest assured that we will keep your ID safe and secure and all information are kept private.

Upload 1 Valid ID *

Please upload 1 valid government-issued ID. This can be: Passport, Driver's License, PRC, UMID, Senior Citizen ID, Integrated Bar ID, ARC card for foreigners.

Upload a selfie with your Valid ID *

Please take a selfie with your submitted valid ID.

Upload 1 Proof of Billing *

Please upload a picture of at least 1 proof of billing. This can be a billing for: Meralco, MWSS/Maynilad, Credit Card, Cable TV, PLDT, Mobile Postpaid Plan, Internet Service Provider.

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Contact Us

5 Dona Juliana St., Filinvest, Brgy. San Isidro, Cainta, Rizal

(+63) 939-505-6914

hello@irentmo.com

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Operating Hours

Mon – Fri: 9am – 5pm

Sat & Sun: CLOSED

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