Away Baby Rentals LLC

www.awaybabyrentals.com

Email us at medelaprices@awaybabyrentals.com for Breast Pump Prices.

(856) 374-1580

Breast Pump Rentals and Purchase Form.

Please provide the following contact information:

First Name
Last Name
Middle Initial
Drivers License #  
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone
Home Phone
FAX
E-mail

          

SHIPPING      Same as Above
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Payment Information:

Please note we only accept MasterCard/Visa

               

Credit Card No.

Auth. Code:       

Exp. Date:          -- mm/dd/yy

Breast pump Selections:-All NJ pump rentals will be charged 7% sales tax.

Ameda Elite Breast Pump $45                   Medela Symphony Breast Pump $59             Medela Lactina Breast Pump $47       Rental Kit-Ameda Elite $46          
Rental Kit-Medela Lactina $46                 Rental Kit-Medela Symphony $46              Medela Pump In Style Adv. Shoulder   Medela Pump In Style Adv. Backpack
Medela Pump In Style Meto Bag                 Medela Swing Breastpump                     Ameda Purely Yours Carry All                

Accessories (please list):


Comments or Questions:

Total (given to by the Away Baby Rentals Representative/Email Price List):

Orders with incorrect pricing will not be processed, FREE Shipping, and NJ Customers Add 7% Sales Tax.


Renter agrees to the following terms and conditions:
- To return the breast pump in the same condition as received. Renter agrees to pay a cleaning fee for any soiled breast pumps.
- The renter shall have no right, title, or interest in the breast pump, except set forth in this agreement
- That the breast pump will remain the property of Hollister Incorporated (Hollister), Medela, Inc. McHenry, IL.
- Lessee shall leave a security deposit with the Rental Station.
- Renter shall accept full responsibility for the proper use and return of the breast pump, case, contents and accessories.
- Renter will not allow breast pump to be used by any other person.
- Renter must notify rental station within 2 days of receipt of pump if damage is noted. Otherwise pump will be assumed delivered in good condition.
- Hollister assumes no responsibility for any damage to the renter or breast pump if any kit other than the Ameda HygieniKit Milk Collection System is used for milk collection.
- This agreement shall automatically terminate upon written notice by the renter or the rental station. Upon such notice, the renter shall have two (2) business days in which to return  the breast pump to the rental station and pay account in full.
- Renter agrees to pay all fees, including collection and court costs, if this agreement is not fulfilled and / or renter fails to return the breast pump asset forth herin and / or pay contract in full.
- If renter fails to return the breast pump, rental station will charge renter's credit card on file for the current suggested retail price for the breast pump rented.
- To pay any tax imposed by reason of this transaction.
- To handle the breast pump with the utmost care and pay rental station the current list price for damaged and / or missing parts.
- To immediately inform the rental station of any changes to the credit card account used to secure this agreement. Renter agrees to pay all repair costs for damage incurred during the rental period.
-Rental contract must be signed and mailed within 2 days of breast pump request.
 
By signing below, I agree that the information provided is true and accurate and that I accept responsibility for the whereabouts of the equipment rented as well as the charges to my credit card. I understand that no refunds will be granted for pumps returned prior term. Also, there are no refunds for personal hygienic products (ie pumping kits, pump accessories, purchase breast pumps ect.). All sales are final.  

Also, I agree that my credit card may be charged for the amount indicated be the Away Baby Rentals Representative:

Electronic Signature:


Away Baby Rentals LLC, Deptford NJ 08096, 856-374-1580.
Copyright © 2005-2008[Away Baby Rentals LLC]. All rights reserved.
Revised: 03/02/08