Hello, please call 678-793-8546 to get a quote. Do not use the form below, it is under construction. HiddenInitiator's WordPress ID Initiator's EmailWordPress email log in for Burn Debris staff member who created this entry. If blank a customer filled out form on our website. Do Not Use This Form - Under ConstructionComplete this request form and we’ll soon contact you to confirm the cost and dates for renting the air curtain burner(s) you desire.Burning Location Address(Required)Where burning will occur. An accurate address is needed to give a cost estimate. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County(Required)Which county is the job location in? Start Date (Desired)(Required)Date you receive the air curtain burner. MM slash DD slash YYYY Is your start date flexible?YesNoEnd Date (Desired)(Required)Date you will return the air curtain burner. MM slash DD slash YYYY Company Name(Required) Customer(Required) First Last Phone: Customer(Required)Mobile # we text rental info to after you decide to rent. We will not send any marketing texts, etc.Email: Customer(Required) Rented from us before?(Required) First time renter Have rented before from Burn Debris How did you hear about BurnDebris.com? Google Facebook Instagram Linked In Flyer Friend Local Municipality Other Comments (optional)Tell us more about your rental needs?HiddenRental ID HiddenStaff: Review RequestThis section is visible to staff only who reviews the request and approves or deniesHiddenPreliminary Status(Required)Check if a machine is possible considering the requested dates, then complete your Initial Status below. Called Customer lets other staff know. Call Back Customer to get more info later. Called: Ready To See Contract must be checked to design a contract. Called But Customer Cancelled or Notify Customer Not Possible sends emails after you mark this step Complete and click Update. That ends this customer's workflow. In the Workflow box check In progress and click Update to save your work and return later. While talking to the customer, you can instantly calculate rental cost by filling in below the start and end dates and selecting machine cost. When you check Complete and click Update the contract goes to the Approve Contract step, and if approved is then sent to the customer. To send a customer a preliminary contract for review, simply send a real contract, then to revise it, later use the Admin Select an action to send this customer's workflow back to this Review Request - Create Contract step to start over. Called Customer (1st Time) Call Back Customer (Date Below) Called: Ready To See Our Contract Called But Customer Canceled Notify Customer Not Possible HiddenDate to Call BackSet Preliminary Status to Call Back Customer then enter date MM slash DD slash YYYY HiddenNotes: Before ContractHiddenRental ContractHiddenStart Date: Contract(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenEnd Date: Contract(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenRental Days: Contract# of days rented forHiddenMachine Type: Contract 20' Manifold Trench Burner 25' Manifold Trench Burner 30' Manifold Trench Burner 40' Manifold Trench Burner 16' Refractory Above Ground Box Burner 19' Refractory Above Ground Box Burner 23' Refractory Above Ground Box Burner 27' Refractory Above Ground Box Burner 30' Refractory Above Ground Box Burner HiddenMachine Type: CostSelect the same machine type as chosen in previous question. 20' Manifold Cost 25' Manifold Cost 30' Manifold Cost 40' Manifold Cost 16' Refractory Cost 19' Refractory Cost 23' Refractory Cost 27' Refractory Cost 30' Refractory Cost Rental Fee #88795721(Required)Exclusive of options, taxes, and deposit fee HiddenDelivery & Return: Contract(Required) Customer will pickup and return machine Customer will pickup, Burn Debris will return Burn Debris will deliver, Customer will return Burn Debris will deliver and return machine Estimated Delivery Fee #104413258Estimated cost for Burn Debris to deliver machine to customer. The actual cost may be more or less. Estimated Return Fee #104225467Estimated cost for Burn Debris to return machine from customer. The actual cost may be more or less. HiddenAdditional Fees ListAdditional Fees Total #104225409Described above Grand Total: Contract HiddenChoose Contract Standard Contract Standard Contract with Additional Contract Conditions HiddenAdditional Contract Conditions HiddenContract Status(Required) Not Ready To Send Call Customer Send Contract To Customer Canceled HiddenCustomer CommentsOptional. Add anything you need us to know.HiddenContract AgreementPlease check the Consent boxes to accept this contract and enter your name below.HiddenEquipment Rental Insurance(Required)Per the above contract, you agree to have insurance by choosing: I agree to send a certificate of insurance from our insurance company as described in contract section Insurance & Damage in paragraph A. I agree for Burn Debris to provide rental insurance costing 15% of the rental fee Rental Insurance Fee #104102479Optional: Pay 15% of rental fee for insurance provided by Burn Debris instead of your own policy. Price: $0.00 Rental Service Fee #88795715 Price: After you sign your contract, you'll be emailed an invoice for the $395 rental service fee to confirm your reservation.HiddenConsent: Rental(Required)I agree and understand that by checking this box I agree to the Rental Terms & Agreement with Burn Debris LLC displayed herein and that checking this box is the legal equivalent of my handwritten signature with the name I enter below. I agree to the Rental Terms & Agreement with Burn Debris LLCHiddenConsent: Rental & Insurance(Required)I agree and understand that by checking this box I agree to the Rental Terms & Agreement with Burn Debris LLC displayed herein, and I agree to the Equipment Rental Loss Damage Waiver Agreement displayed herein, and that checking this box is the legal equivalent of my handwritten signature with the name I enter below. I agree to the Rental Terms & Agreement and the Equipment Rental Loss Damage Waiver Agreement with Burn Debris LLCHiddenName: Electronic Signature(Required) First Last HiddenContract Date(Required) Month Day Year HiddenJob Site ContactHiddenJob Site Contact(Required)For your rental, we will send emails and texts for where to pick up your burner or who is delivering it, how to inspect the machine before and after using it, tell us when you will be done burning, and where to return your burner or who will be picking it up. Who should be our job contact? Contact only me Contact me and another Job Site Contact HiddenName: Job Site Contact(Required) First Last HiddenPhone: Job Site Contact(Required)Mobile # preferred to send texts about your rental dates etc.HiddenEmail: Job Site Contact(Required) HiddenBilling ContactHiddenChoose Billing Person(Required)For your rental, only one person is registered in our accounting system as the billing contact to receive invoices for payment. Who should be our billing contact? Contact only me Contact another person HiddenBilling Contact(Required) First Last HiddenBilling Phone(Required)HiddenBilling Email(Required) HiddenBilling Address(Required)Address for the credit card you'll use. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenInsurance CertificateIf the customer uploaded an insurance certificate using the form "Provide Insurance Certificate For Air Curtain Burner Rental" it is copied into this rental form below. If there's no data here then no certificate was uploaded.HiddenSend insurance certificate(Required) Drop files here or Select files Accepted file types: jpg, gif, png, heic, pdf, doc, docx, odt, txt, rtf, Max. file size: 80 MB. HiddenSend 2nd file/photo (if needed)Accepted file types: jpg, gif, png, heic, pdf, doc, docx, odt, txt, rtf, Max. file size: 80 MB.HiddenRental DetailsWorkflow steps will ask staff assigns a specific machine and start and end dates HiddenMachine Assigned: Actual(Required) M25-1 Tow Wt. 7000 lbs. M30-3 Tow Wt. 8500 lbs. M30-4 Tow Wt. 8500 lbs. M30-5 Tow Wt. 8500 lbs. M30-6 Tow Wt. 8500 lbs. M30-7 Tow Wt. 8500 lbs. M30-J-1 Tow Wt. 8500 lbs. M40-1 Tow Wt. 10000 lbs. S-119 Tow Wt. 30100 lbs. T300-1-F Tow Wt. 6600 lbs. T300-2 Tow Wt. 6600 lbs. T400-1 Tow Wt. 6900 lbs. HiddenStart Date: Expected(Required)Scheduled date prior to pickup/deliveryMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenStart Date: Actual(Required)When machine was actually picked up or deliveredMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenEnd Date: Expected(Required)When rental is scheduled to endMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenEnd Date: Customer Inspected After BurningCopied from the customer's Machine Inspection Photos formMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenEnd Date: Actual(Required)Staff reviews then enters when machine rental actually endedMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenRental Days: ActualDo not fill in - this is automatically calculated when the Start Date: Actual and End Date: Actua are filled in.Rental Fee: ActualDo not fill in - automatically calculated using Actual Rental Days to calculate "Rental Fee: Customer Owes" HiddenRental Fee CreditDo not fill in - automatically calculated: Actual Rental Fee Minus Contract Rental Fee Paid. If > 0 customer owes. If less than 0 then customer overpaid.HiddenPickup & Return DetailsWhere a customer or hauler will pickup the machine at start of rental, and return it and end of rentalHiddenPickup Method: Actual(Required) Hauler Will Deliver & Customer Inspects Machine At Job Site Burn Debris Will Deliver & Customer Inspects Machine At Job Site Customer Will Pickup & Inspect Machine At Pickup Location HiddenEmail All Haulers About Delivery?(Required) Do Not Email Haulers Email All Haulers HiddenPickup Address(Required)Where the customer or hauler picks up the machine at the start of rental. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenReturn Method: Actual(Required) Hauler Will Return After Customer Inspects Machine At Job Site Burn Debris Will Return After Customer Inspects Machine At Job Site Customer Will Return And Inspect Machine At Return Location HiddenEmail All Haulers About Return?(Required) Do Not Email Haulers Email All Haulers HiddenReturn Address(Required)Where the customer or hauler returns the machine at the end of rental. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenMachine Address (Where Used Last)(Required)Normally this is the customer's job location per the contract, but if the customer has moved the machine to a new job site, enter it here. Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code HiddenDelivery HaulerHiddenName: Delivery Hauler(Required) First Last HiddenPhone: Delivery Hauler(Required)Mobile # preferred to send texts about rental dates etc.HiddenEmail: Delivery Hauler(Required) HiddenCost: Delivery Hauler(Required)Actual cost the hauler required, which may be different from what we estimated in the rental contractHiddenFee: Additional Delivery Hauler Cost(Required)Will Be > 0 If (Cost: Delivery Hauler > Contract Estimated Delivery Fee). At rental end you may bill client for this.HiddenInsurance Certificate: Delivery HaulerBelow please attach a your Certificate of Insurance (COI) for towing. If you complete this form on your smartphone it will let you use your phone's camera to take a photo of your certificate. Using this form on a PC, you will need to upload a file: PDF, JPG photo, etc.Accepted file types: jpg, jpeg, gif, webp, heic, heif, png, pdf, tiff, Max. file size: 80 MB.HiddenReturn HaulerHiddenName: Return Hauler(Required) First Last HiddenPhone: Return Hauler(Required)Mobile # preferred to send texts about rental dates etc.HiddenEmail: Return Hauler(Required) HiddenCost: Return Hauler(Required)Actual cost the hauler required, which may be different from what we estimated in the rental contractHiddenFee: Additional Return Hauler Cost(Required)Will Be > 0 If (Cost: Return Hauler > Contract Estimated Return Fee). At rental end you may bill client for this.HiddenInsurance Certificate: Return HaulerBelow please attach a your Certificate of Insurance (COI) for towing. If you complete this form on your smartphone it will let you use your phone's camera to take a photo of your certificate. Using this form on a PC, you will need to upload a file: PDF, JPG photo, etc.Accepted file types: jpg, jpeg, gif, webp, heic, heif, png, pdf, tiff, Max. file size: 80 MB.HiddenInspection PhotosIf the link exists then photos were taken at each of these possible times (in order from start to end of rental)HiddenInspection Photos: Customer: Before Hauling To JobThis field will be automatically filled in by the Machine Inspection Photos form when its entry for this rental is created. HiddenInspection Photos: Hauler: Before Hauling To Job HiddenInspection Photos: Hauler: After Hauling To Job HiddenInspection Photos: Customer: Before Burning HiddenInspection Photos: Customer: After Burning HiddenInspection Photos: Hauler: Before Hauling From Job HiddenInspection Photos: Hauler: After Hauling From Job HiddenInspection Photos: Customer: After Hauling From Job HiddenHoursHiddenHours: Hauler: Before Hauling To JobHiddenHours: Customer: Before BurningSubtract Hours: Rental End Minus Hours: Rental Start According to CustomerHiddenHours: Customer: After BurningSubtract Hours: Rental End Minus Hours: Rental Start According to CustomerHiddenHours: Customer Reported: Total UsedSubtract Hours: Rental End Minus Hours: Rental Start According to CustomerHiddenHours: Customer: After Hauling From JobHiddenHours: Hauler: Before Hauling From JobHiddenMachine Maintenance InspectionsInspections taken by Burn Debris before and after rental to insure the machine works and has no damageHiddenHours: Maintenance Inspection Before RentalHiddenHours: Maintenance Inspection After RentalHiddenHours: Total Used From Maintenance InspectionHiddenHours: Official: Before RentalStaff chooses one official value from all submitted valuesHiddenHours: Official: After RentalStaff chooses one official value from all submitted valuesHiddenHours: ExtraCalculation: Hours: Total Used From Maintenance Inspections - (Actual Rental Days * 9)HiddenExtra Hours ChargeIf Hours: Extra > 0 Then Calculate Hours: Extra * $18 HiddenMachine Status After This RentalInformation reported by the machine inspection after this rental ended.HiddenMachine Status After This Rental Ready To Rent Needs Repair Sold - no longer available HiddenDate: Ready To Rent After This RentalWhen this machine can be rented again following the rental that just ended, according to the inspection report.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenWho Pays For Repairs?From After Rental Inspection Form No Repairs Needed Customer Pays For Repairs Burn Debris Pays for Repairs Hauler Pays for Repairs Repair CostFrom After Rental Inspection Form HiddenLink to Before Rental Maintenance Inspection HiddenLink to After Rental Maintenance Inspection HiddenEntry ID: Maintenance Inspection Before RentalHiddenEntry ID: Maintenance Inspection After RentalEmailThis field is for validation purposes and should be left unchanged.