Speed depends on a few factors. First, it depends on the equipment rented, as certain items are sitting on the shelf ready to ship, while larger items like surgical c-arms require more time to prep, pack and set up freight. The second factor is how quickly the initial paperwork is completed and first months rent and security deposits (if applicable) are submitted. The lead times can vary from 24 hours to 1 week. The best way to find out is to give us a call at 833-838-8381 and ask about your specific need.