Equipment Rentals

Equipment
Rentals

IREMSCs offers rental equipment and supplies for both EMS and AHA classes. All equipment available for rent or purchase can be found in the Supplies and Rental Catalog. To order equipment, please read over the RENTAL POLICY and fill out the Rental Request Form. You can also send an equipment request for the specific class you plan to teach:

*We only ship within Alaska*

Equipment must be reserved at least 2 weeks in advance. If equipment is not reserved, we cannot guarantee that it will be available. Please allow 2 business days for a response to your rental request.

Contact our Training Assistant via email at resources@iremsc.org or at 907-458-3978 for further information.

EQUIPMENT RENTAL FORM

Renters Name*
First Last
Renters Phone*
Renters Email*
Renters Billing Address*
Street Address Address Line 2 City State ZIP Code
Is this going to be billed to a separate party from the renter?*
- Yes
- No
*The separate party must have an existing Net30 account before the pickup date. The renter must be an authorized person on the account. This in no way relieves the renter of the financial responsibility of payment should the billing party not fulfill their obligation. The renter will also be responsible for late fees and or damages made to the equipment.
Net30 Account*
Name of Business or Entity
Net30 Customer ID
Please provide the Net30 Customer ID if available
Net30 Contact Phone*
Net30 Contact Email*
Which method would you prefer for fulfilling your rental order?*
- Customer will pick up
- US mail Service
- UPS
- Freight Service - please note that a $30 delivery charge will be billed to deliver your items to the freight office.
Is your shipping address different than your billing address?*
- Yes
- No
Shipping Address*
Street Address Address Line 2 City State ZIP Code
START DATE:*
Enter the date you will be picking up your order. For shipments, input the desired deliver by date (note: deliveries may experience delays, please plan accordingly).
Month
Day
Year
END DATE: The date the equipment will be returned to IREMSC*
Late fees will accrue if not returned by the date provided.
Month
Day
Year
Items Needed- Please use inventory numbers from Online Catalog.*
Comments and Questions
Rental Agreement Terms*
I have read the IREMSC Rental Policy and agree to its terms and conditions.
Untitled
Date
MM slash DD slash YYYY
Date
MM slash DD slash YYYY

Equipment Rentals

Equipment
Rentals

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