Health and Safety Equipment Rental - The Arts Partnership

Health & Safety Rental

Organization name*
Contact name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Rental Start Date*
Date Format: MM slash DD slash YYYY

If the exact date is unknown, please put your best estimate. If you are just requesting single-use items, please put today's date.
Item Selection*
Please indicate which of the following items you are interested in receiving from The Arts Partnership. You may select multiple items. You will be asked to indicate how many of each in the next section. *indicates a single-use item that we do not expect to be returned
- Face masks (box of 50)*
- Touchless thermometer
- Social distancing floor graphics*
- UV disinfecting lights
- Face masks required sign
- Portable sneeze guard
- Interchangeable floor sign
Number of face mask boxes
Please enter a number less than or equal to 5.
Number of touchless thermometers
Please enter a number less than or equal to 5.
Number of social distancing floor graphics
Please enter a number less than or equal to 5.
Number of UV disinfecting lights
Please enter a number less than or equal to 2.
Number of "Face Masks Required" signs
Please enter a number less than or equal to 5.
Number of portable sneeze guards
Please enter a number less than or equal to 5.
Number of interchangeable floor signs
Please enter a number less than or equal to 5.
Addional comments
I am representing a Partner arts organization in good standing with The Arts Partnership*
- Yes
I understand that any items that is not single use must be returned after 2 weeks or get an extension*
- Yes