Inventory Rental Form

SFA-IR01

PERSATUAN FLOORBALL
NEGERI SELANGOR
Rental No :

(No. Ruj. 7052/2014)

Description
Quantity :

Item :

Duration :

Rate :

Venue :

Event :
Purpose :
Item Description :

Mode of Transport :

Name :

Rentee Signature :

Contact No. :
I/C No :

Position :
Rental declaration:

Time :

I, __________________________________ , I/C no. _________________________ hereby acknowledge the rental agreement and rates
given by Selangor Floorball Association therefore will be held responsible should any of the rented item be deemed lost or damaged during
the rental duration and shall replace the rented item accordingly.

Approved By:

Paid By :

Name :

Name :
I/C No :

I/C No :
Title :

Title :

Signature & Stamp :

Date :

Date :

Signature & Stamp :

Time :

No. 24, Jalan 10/3, Taman Putra, 68000 Ampang, Selangor Darul Ehsan

Date :

Time :

60172373940

selangorfloorball@yahoo.com