Spica Rental

Name

Street Address

City

Postcode

Home Phone Number

Home Fax Number

Home Email Address

Funding

Delivery Name & Address

Delivery Phone Number

Delivery Fax Number

Delivery Email Address

Sales Rep

Select the size of the product you require

Number of weeks required

Start Date of Rental Period (dd/mm/yy)

Purchase Order Number

Delivery Options

Calculated Total Cost (Use Spica Calculator)

or Reset

Payment

Include a purchase order number or method of payment before delivery. Should the rental period extend beyond the initial agreement, an amended purchase order or balance will be required. Please allow 2 working days for delivery after receipt of cheque or purchase order.

Damage

When returning a spica product, you are agreeing to take responsibility for the goods issued to you. Unacceptable levels of damage will be charged for at the cost of replacement parts.

Decontamination

All rental chairs are decontaminated in accordance with MHRA DB2003 prior to refurbishment/re-issue

Spica Returns

When the spica is ready for return disassemble the chair and pack into the bag and box provided. Contact chunc on 01432 377512 to arrange the product to be collected and decontaminated.

Spica Rental Form Download

Products will be delivered by courier. Includes information on setting up the spica yourself.

Will be either delivered by courier or by a chunc representative. The Chunc representative will set-up the chair and provide training on the product.

Important Information

Payment

Damage

Decontamination

Spica Returns

Spica Rental Calculator

Spica in a Box

Spica with a Rep