Please enable JavaScript in your browser to complete this form.Company // Organization Name *DIGITAL Lo Profile (tan) headsets @ $115/ea. per weekNone45678910111213141516171819202122232425DIGITAL Lo Profile Theatrical Wig Lavaliere @ $115/ea. per weekNone45678910111213141516171819202122232425DIGITAL Standard Lavaliere @ $85/ea. per week (copy)None45678910111213141516171819202122232425Lo Profile (tan) headsets @ $95/ea. per weekNone45678910111213141516171819202122232425Lo Profile Theatrical Wig Lavalier mic @ $95/ea. per weekNone45678910111213141516171819202122232425Standard Lavalieres @ $65/ea. per weekNone45678910111213141516171819202122232425Standard Headsets @ $65/ea. per weekNone45678910111213141516171819202122232425Handheld Microphone @ $65/ea. per weekNone45678910111213141516171819202122232425Wireless In-Ear Monitor @ $95/ea. per weekNone45678Antenna Distrobution System @ $200 per 8ch.noneRack of 8Rack of 16Rack of 24AA Batteries - 20 for $11.80none20406080100120140160180200220240260280300Date Needed to Arrive? *Date you will send back? *Contact Name *FirstLastEmail *Business Shipping Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBilling Address is Different than Shipping AddressAdd Billing AddressBilling AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email Address (used for Tracking and Account info) *We do not share your information! Confirm Email Address *Check here if you are sending a check. Must be received at least 3 days prior to shipmentWe are sending a checkCredit card is still required for security purposes. Credit Card Number *xxxx-xxxx-xxxx-xxxx (no Discover) | THIS IS REQUIRED TO PLACE AN ORDER Card Expiration Date *MM / YYYY CVV2 (security code) *Code on back of cardOrder/Quote Number (If Available)Comment or MessageBy checking the box below, I agree that I have read and agree to the terms and conditions of the rental contract attached below. I also understand and agree that I am fully responsible for the equipment while it is in my possession. *I agreeThe wireless microphones are very delicate and capable of breaking or becoming damaged if mistreated. If the microphones are returned deformed, cut, torn or damaged from misuse, you will be charged for the replacement, necessary repairs or cleaning fees. *I accept these termsSignature *Clear SignatureName of Signee *PhoneSubmit Download Wireless Contract