Please begin planning your event by filling in the form below. A Connecticut Rental representative will contact you shortly.

Name: 
Home Phone:     Work Phone: 
Cell Phone:     Email: 
Address: 
City/State:  Zip:
Function Address: 
Function City/State: 
What type of function are you having? 
What is the date of your function? 
What is the time of your function?  to
How many guests are expected? 
Will your function be: 
Will there be a head table?  Yes   No     If so, how many people?
Will you need a dance floor?  Yes   No
Will you have music?   DJ   BAND   None
   If a DJ, will they need a table?  Yes   No
   If a Band, will they need a stage?  Yes   No
   If a Band, number of pieces?  2   3   4   5   6   6+   NA
How many bars will you have?  0   1   2   3   4   4+   NA
Do you need a gift table?  Yes   No
Do you need a cake table?  Yes   No
Is the area delivery truck accessible?  Yes   No
   If "No", how far from delivery trucks?
   Caterer's name? 
   Caterer's Phone Number? 
   Caterer's Email? 
   Photographer's name 
   Photographer's Phone Number 
   Photographer's Email 
Will the tent be on 
Additional comments or information?

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Middlesex Hospital has enjoyed an excellent working relationship with Connecticut Rental over many years and countless special events, large and small. We especially value their ability to meet our ever changing needs and their flexibility. --Kathleen Russo - Middlesex Hospital