Fussbally Machine RentalPlease enable JavaScript in your browser to complete this form.Parent Name *FirstLastChild Name *FirstLastPhone Number *Address *RentalOne Month Rental with Balls (18 Balls) - $200.00Two Month Rental with Balls(18 Balls) - $350.00Three Month Rental with Balls(18 Balls) - $450.00Additional Items *Add Cones and Pop up Goals for Awareness Training - $20.00No Thanks - $0.00Delivery *I will pick the machine up myself and drive it back at the end of the rental period - $0.00I prefer delivery to my house and a short intro on how to use the machine - $60.00Agreement *I agree to pay for the full Toca machine in case I break it ($2000) Or and pay in full for repair if minor damages accure. For every lost or broken Ball I agree to pay $20.Agreement *I agree to wait up to 4 Months for my turn on the rental. (In case it is actively rented) To inform myself when the Machine is next available I agree to contact Lasse 303-828-7079Total$0.00Stripe Credit Card *CardName on CardSubmit