Telerent Leasing Corporation

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Please fill out the form below. You may also contact Telerent at (800) 626-0682 or locally at 919-772-8604.

Property Name

Contact Name

Address

City

State, Zip

Phone

Fax

Lease Number

I would like to receive information on:

	Televisions
	Individual room ac/heat units
	MATV systems (master antenna systems)
	SATV systems (satellite antenna systems)
	DSS systems (digital satellite systems)