Welcome to Media 2-Way Radio Specializing in 2-Way Radio Rentals for Film/Video Productions and Special Events

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	*Production/Event Title:
	*Company Name:
	*Address:
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	Company Web Site:
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	Insurance Exp. Date:

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*Number of Days: (to be used)

*Pick-up Date:

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Special Instructions:


Walkie Talkie (w/speaker mic)
Surveillance
Lightweight Headset (w/boom mic)
NFL Style Headset
Heavy-duty Dual Headset
Bullhorn
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Important Notice:
Please fax a current copy of your Insurance Certificate listing Media 2-Way Radio as additional insured along with the Texas Sales Tax Exempt form if applicable to 817.488.7445. After clicking submit you will receive a phone call or email confirmation of your order. If you do not receive this confirmation within 4 to 6 hours please contact our office at 877.881.7443/option 1 for rental, sales & support.