Simply
print out and complete the rental form below.
|
PuriFresh® Window Mounted Energy Recovery
Ventilator Rental Form Billing Address
(please print): Shipping Address (if
different from billing address): |
|||
|
Number of Units to Rent |
Number of Months to Rent |
Monthly Rental Cost |
Total |
|
|
|
$50.00 |
|
|
Wisconsin residents: add 5.5% sales tax |
|
||
|
Shipping
and Handling: $30 per unit This only
covers shipping to the renter. The
renter is responsible for the cost of shipping the unit back to ElasTek, Inc. |
|
||
|
TOTAL |
|
||
|
PAYMENT
METHOD: __VISA __MasterCard Card
Number__________________________ Expiration date ___/___
Signature_____________________________ Terms and conditions: The rental term begins the day the unit is received by the renter, and ends the day the renter ships the unit back. The renter agrees to pay for any additional time he keeps the unit, at the above rental rate, up to a maximum total rental equal to the purchase price of the unit at the time of this agreement. The renter agrees to pay for all of the shipping cost to return the unit. The renter agrees to pay for any damage to the unit above normal wear and tear. The renter agrees to take full responsibility for the installation of the unit. The renter certifies that he has carefully read the online manual and will follow it carefully when installing and operating the unit. The renter agrees to the above terms and conditions. Date_______________, Signature of Renter________________________________ |
|||
|
Send or Fax completed order form to: PuriFresh® ERV Rentals |
|||