BOX / EQUIPMENT RENTAL AGREEMENT
Name:	Date:
Address:
City:	State:	Zip:
Phone:	SS# or Fed. ID#:
Prod. Title:	Prod. No.
Prod. Co.
Address:
City:	State:	Zip:
Phone:
The above named production company agrees to rent the equipment listed below from employee
beginning on	and ending on	.	The rental rate shall be
per	day week.	Company agrees to take full responsibility for the safety of equipment
and agrees to replace or repair any equipment lost or damaged while being rented by the company.
Total value for equipment listed below and/or on additional sheet(s) is	$
Any extensions beyond the above listed dates will be charged at the daily rate for rental of equipment
unless other arrangements have previously been made. Employee acknowledges that personal
property rented to the Production Company as part of this Box/Equipment Rental Agreement must
be insured by the Employee.
Invoice will be submitted weekly	Charges will be listed on weekly time card
EQUIPMENT INVENTORY (Attach additional pages if necessary)
ITEM	SERIAL #	VALUE
Box and equipment rentals are subject to 1099 reporting.

The Production Company is not responsible for any claims of loss or damage to box/equipment rental items that are not listed on the inventory.
Approved and Accepted:
Prod. Co. Rep. Printed Name
Signature
Date
Employee Printed Name
Signature
Date
BER	© DEE

BOX / EQUIPMENT RENTAL AGREEMENT	Page #	of
Name:	Date:
Prod. Title:	Prod. No.
EQUIPMENT INVENTORY
ITEM	SERIAL #	VALUE
Approved and Accepted:
Prod. Co. Rep. Printed Name
Signature
Date
Employee Printed Name
Signature
Date

BER	© DEE

CAMERA DEPARTMENT CONTACT LIST

David E. Elkins

2010-10-07