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KneeStrider Rentals

Today's Date

KneeStrider choice

Blue KneeStrider Economy (R300 per week, R500 deposit, weight limit 90kg)

Pink KneeStrider Economy (R300 per week, R500 deposit, weight limit 90kg)

KneeStrider Deluxe (R400 per week, R1000 deposit, weight limit 120kg)

KneeStrider Hybrid (R400 per week, R1000 deposit, weight limit 120kg)

KneeStrider Fusion (R400 per week, R1000 deposit, weight limit 130kg)

KneeStrider Quad (R500 per week, R1000 deposit, weight limit 130kg)

KneeStrider All Terrain (R500 per week, R1000 deposit, weight limit 150kg)

KneeStrider Fusion All Terrain (R500 per week, R1000 deposit,weight limit 130kg)

Other mobility rentals

Heavy Duty Wheelchair (R300 per week)

Shower Chair (R50 per week)

Walker (R100 per week)

All Terrain Rollator (R300 per week, R500 deposit, weight limit 130kg)

IWalk - Rent R200 per week

Cryocuff - R300 per week

You will receive an invoice based on the products ordered on this form. Your booking will be confirmed once payment is received.

Please note that products purchased or rented at STRIDE Mobility cannot be claimed from your medical aid.

Patient information

First name

Last name

Phone

Alternative Phone Number

Treating Doctor

Multi-line address

Country/Region

Address

City

Zip / Postal code

Booking information

Rental start date

Rental end date

Collection/Delivery

I will collect from MR Building Suite 3, Die Wilgers

Deliver to Wilgers Hospital Ward (Free)

Deliver to Faerie Glen Hospital Ward (R50 delivery fee)

Deliver to Cureday Erasmuskloof Hospital Ward (R50 delivery fee)

I will collect from Trailworks at Wolwespruit (Free)

Please send to me via Uber (cost to be calculated dependent on address)

Return

I will return it to MR Building Suite 3, Die Wilgers

I will return to Trailworks at Wolwespruit

I will return it via Uber

I will return it to Unitas Hospital Suite 111 (only on Mondays 8:00 - 12:00)

Terms and Conditions of the Rental Agreement

1. By renting the knee walker / rollator/ IWalk from the Owner, the Renter agrees that they have read, understood, and agree to the terms herewith stated.

2. The Owner shall not be liable in any event of loss, delay or damages of any nature whatsoever resulting from the use of the knee walker.

3. The Renter is responsible for the knee walker / rollator/ IWalk from the time it is handed over to the renter until it is returned in good working order to the Owner. If failure to return the device in good working order occurs, the renter will be liable for an account of any repairs or replacement that needs to take place by our mechanic.

4. The Renter agrees to use the knee walker / rollator/ IWalk at his/her own risk and accepts all responsibility for the item while in their possession.

5. The Renter agrees to make an upfront payment for the initial rental period and thereafter agrees to make further payment should the Renter wish to extend the rental period. All payments are to be up to date by the end of the rental period.

6. The renter agrees that all fees are due for the days that the item is in their possession, irrespective of whether it is used or not.

7. The renter agrees to pay a refundable deposit of R500 for economy walkers and R1000 for speciality walkers. This deposit will be refunded upon the return of the items if it is in good condition.

8. The renter agrees to inform the rooms 24 hours in advance if the KneeWalker / rollator/ IWalk will not be returned on the indicated date.

9. Please note that the rental fee of the KneeWalker cannot be claimed from your medical aid.

10. The deposit and full rental amount is due before collection of the item.

11. The deposit will be refunded if the item is returned in good condition, once the return form is completed

12. The rental period can be increased if needed, just send a WhatsApp with the new return date

13.Items can be returned sooner than the indicated date and you will be refunded for the portion of the rental period between the return date and the indicated return date.

14. The rental period is calculated for a full week, not for portions of a week

Accept the terms of conditions

I do accept the terms

Once we receive this form, we will send you an invoice via WhatsApp to the cell phone number and via email to the email address provided. Please ensure that payment is made prior to delivery.

You can direct any queries to 0720885329 via WhatsApp. Please note that you can not claim for reimbursement from your medical aid.

There is a refundable deposit payable prior to collection. This deposit is refunded upon return in good condition. Complete the return forms with your banking details for your refund. Please allow 14 days for the refund to reflect in your account.

If the rental item is extremely dirty, returned late or any parts are broken, the amounts for repair will be deducted from the deposit.

Mobility made simple