Monthly Trailer Rental Fill Monthly Rental - Fill LOCATION & DAYSCustomer/Account Information Customer InformationPLEASE READ BEFORE BOOKING: Rates include Reefer hours and mileage. Once approved, you must provide a Certificate of Insurance (COI) before you pickup up the reefers. All businesses must have a registered and active USDOT# and has been in business for a minimum of 2 years. You'll receive instructions on how to pickup the reefers. LOCATION : 201 Five Forks Dr, Cartersville, GAMonthly Rate: $1600 Rate include reefer hours & mileage!Type of Vehicle- Select -WabashUtilityUnit Number- Select -2012 - 209532012 - 212532012 - 622832013 - 276532013 - 26653Trailer Length- Select -53 ftMake, Model, ColorUnit Number- Select -12425Trailer Length- Select -53 ftUnit 12425 - 2013 Utility 3000R Unit 62283 - 2013 Wabash Unit 21253 - 2012 Wabash Unit 27653 - 2013 Wabash Unit 21553 - 2012 Wabash Unit 20953 - 2012 Wabash Unit 26653 - 2013 Wabash Pickup Date Total Month(s)First NameMiddle NameLast NameCompany NameOwnerAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePhone Number:EmailGeneral Business InformationFederal Tax ID #:Date of IncorporationState of IncorporationUSDOT #PreviousNextInsurance RequirementsLiability Insurance PIE Technology Consulting LLC Rental must be listed as an Additional Insured and Loss Payee. PIE Technology Consulting LLC Rental requires the customer to maintain the full minimum liability coverage. Minimum coverage for both Commercial General Liability and Auto Liability is $1 Million. Lessee is otherwise responsible for maintaining the minimum levels of financial responsibility required data-required by applicable law.Insurance Agency/Carrier Name:Contact Name:Phone Number:Email AddressPhysical Damage PIE Technology Consulting LLC Rental must be listed as Loss Payee on Physical Damage policy. Trailer Interchange limit must cover $50,000 for each trailer.Customer-Provided Insurance (Maximum Permissible Deductible is $2500) Yes NoUpload ACORD or COI, Articles of Corporation or Current RegistrationChoose File PAYMENT & CHECK OUTI hereby acknowledge that the information that I provided in this agreement is complete and accurate. CONTACT US IF YOU WANT TO RESERVE 2 TRAILERS OR MORE.*NO PARTIAL REFUND AFTER PICKUP.* REVIEW OUR RENTAL & REPAIR POLICY BEFORE BOOKING. TEXT/CALL 470-460-7275 OR EMAIL US AT TRAILERS@PIETCONSULTING.NET IF YOU HAVE ANY CONCERNS OR QUESTIONS.Promo CodeApply CouponTotal Payment$ Previous Check Out
