Long-Term Rental Service

To open an account for long term rental service, complete by filling-up the online form and send all the required documents in steps 1, 2, and 3, at the section below.

To obtain a helium service for your business premises, and receive refills and tank exchanges as needed, it is necessary to establish a business service account by submitting all required documents, forms, and applications as specified on this page. Kindly open an account for long-term services with our company.

Click on the buttons below to navigate through the steps 1, 2, 3,

Long-Term Rental Service Form

Be advised that all field with star * mark are required, to submit this form successfully.


> Billing payer info (needs to match your credit card)
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> Drop-off/Pickup/Return info:
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> List of rental items:
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Recurring Payment authorization form

Fill out all the information required in the document below save it, download it to your device and sign it.

Afterwards send it back to us via one of the options available to you:

1. File uploader – located on the top section of this page.

2. Email it: [email protected]

3. Fax it: (718) 787-4480.

Click on the icon to download the “recurring payment form as blank PDF file to your device or computer to fill it up manually.

Send a Copy of your ID

Please send a clear copy frons and back of your driver’s license or legal issued government ID.

You can use “file uploader” section located on the top of this page to upload all your files from your computer or device or simply send an email with all files as an attachments to: [email protected]

File Uploader

You can send your files here, using our file uploader, use only the file formats suggested listed below. To choose more then one file in your computer, hold control key on PC keyboard or command key on a mac.

Contact Us Form

You have question about our product or service, feel free to contact us with this form and expect of our response within few hours or sooner.