Self Help Center Order Form

Self Help Order Request

Need something from the Self Help Center? Fill out the information below! View Item List

Full Name*

Phone Number

Email*

Address*

What type of items are you requesting?

Items Requested

Item	Qty

File

Drop files here or

Please check the following boxes before submitting.

Rentable Items

I understand that blacklights, lawn/driveway tools, fan brushes, and garage floor squeegees are rentable items and must be returned. If renting an item, please sanitize prior to returning. Self Help Center staff will contact you to discuss return options (pickup or dropoff).

All Items

I understand that this order is for pickup only. Failure to pickup after one week, will result in cancelation of the order.

Additional Notes

Phone

This field is for validation purposes and should be left unchanged.