RESTROOM QUESTIONNAIRE

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Customer Information

Full Name

Phone

Billing Address

City

State

ZIP Code

Would you like to schedule an appointment to meet and discuss needs and expectations?

Yes

Not at this time

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Event Information

Event Date

Estimated Guest Count (typically 85% of your total invites)

Length of Event

Event Address

City

State

ZIP Code

Event Description

Delivery/Setup Details

Do you have a water spigot (garden hose) within 50' of the preferred restroom trailer location?

Do you have at least two dedicated 15 amp non-GFCI electrical circuits within 50' of the preferred restroom trailer location?