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Exhibit Display System Reservation to Rent Form

Ocean Color LLC \| 850 Aquidneck Ave., Middletown, RI 02842	DATE:________________________
(401) 847-2020 \| (800) 219-8700 \| FAX: (401) 847-0393


Company	_________________________________	Credit Card Billing Address
Contact Person	_________________________________	____________________________________
Phone	_________________________________	____________________________________
Fax	_________________________________	____________________________________
e-Mail	_________________________________	____________________________________

Method of Payment:

Visa_____ American Express _____ MasterCard_____

Code

_____________

Credit Card Number

________________________________________

Exp Date

__________________

_______________________________	____________________________________	____________
Name on Credit Card (Please Print)	Signature	Date


Rental Equipment Description	Ship To Address___________________________
	________________________________________
	________________________________________
	________________________________________
	________________________________________

Event	___________________________	Rental Rate	_____________
Event Location	___________________________	Rental Fee	_____________
Event Dates	___________________________	Sales Tax	_____________
Set Up Date	___________________________	Outbound Ship and Handling	_____________
Outbound Ship Date	___________________________	Total Charges	_____________
Return Ship Date	___________________________	Replacement/Insurance Value	_____________

Rental Terms and Conditions (Please read and then sign below):
-- Rental term covers dates of event, additional days for arrival at event location and set up, and ample time for outbound and return shipping by ground. Any consecutive event would be a second rental term.
-- Full Payment is due on or before pick-up / outbound ship date. Reservations: firm with receipt of full payment. Cancellation up to 2 weeks prior to outbound ship date: full refund. Cancellation up to 3 days prior to outbound ship date: 50% refund. Full value of item(s) must be secured by credit card.
-- Customer agrees to pay for outbound shipping and to accept responsibility for returning rented item(s). Item(s) can be returned in person or shipped by ground using the carrier of Customer's choice.
-- All shipped item(s) must be insured for their total replacement/insurance value (as stated above).
-- Customer agrees to accept responsibility for returning rental item(s) in good condition. Customer agrees to notify us of return shipment of rental item(s). In the event of damage (beyond normal wear) the repair cost(s) will be charged to Customer credit card (with prior notice). Loss of item(s) will be treated as a sale. Customer agrees to pay replacement value (as stated above) for any loss of rented item(s) when items are not returned within a time frame that allows for normal shipping times and delays. Customer credit card will be charged (with prior notice) unless there is an agreement on an alternate method of payment.
CAUTION: Improper repacking can result in damage or loss. Mistakes made in return shipping can result in loss of the display. Follow instructions for repacking and return shipping. These instructions are included in the information that ships with the display.

__________________________________	_______________________________	____________
COMPANY REPRESENTATIVE(Please Print)	SIGNATURE	DATE