PRODUCT RENTAL. 6.1 Unless otherwise agreed in writing by the parties or stated in a Quote, GDS will invoice and CUSTOMER will pay, monthly in advance for the Product Rental provided by GDS, including all applicable federal, state, provincial, local, and other taxes including value added tax and fees which may be attributable to the product rental.
PRODUCT RENTAL. Rental Charge: Western Medical Equipment, (WME) is in-network with BCBS of Wyoming and is contracted with First Choice of the Midwest PPO. We do not require nor can accept payment prior to rental end date for these members. BCBS of WY members must have a pre-authorization letter and prescription at the time of pick up in order to receive the equipment. In the event your insurance company denies your claim by signing this agreement you agree to cover the cost of this rental. All out-of-network members are required to pay in full at the time of pick up. Medela BiliBed $90/Day x Days = Medela Bilicombi $18.95 each x Quantity = Shipping $55 Round Trip: Anywhere in UT,ID,MT,OR,WA,NV or CA All Equipment Rentals Require Valid Credit Card Information Copy of Driver's License or Photo Identification (or Full Value Security Deposit) * $500.00 deposit is held for all rentals in the case of lost or damaged equipment. Insurance Requires Rx Insurance Card Please initial below indicating the agreement to the following terms: There will be an automatic payment of $85.00 each month past due, unless the user informs WME of extended rental prior to the rental renewal date in order to secure the prepay rate. Return Date Initials Deposit Released Insurance does not reimburse for shipping. It is you, the patient’s, responsibility to cover the cost of shipping. Please be sure to include your credit card information at the end of this form to avoid delay in delivery
PRODUCT RENTAL. 15.1 In the event the Health Planner has entered into a Product Rental Agreement with the Company, the Health Planner is obliged to ensure prompt payment of the monthly rental.
PRODUCT RENTAL. Rental rate(s)/charges shall be as indicated in this Agreement and are quoted as a percentage of Price List for a 28-day rental period. Rental of all items start on date of delivery to carrier or Customer, and end on the date of receipt of return at DOKA’s warehouse. If no warehouse was determined in the Agreement, then the warehouse is the warehouse that lies closest to the site to which the object was delivered. The minimum rental period is 28 days. All Rentals after the twenty-eight (28) days minimum rental charge are charged at a daily rate based on the agreed rental rate. DOKA is hereby authorized and empowered to correct evident errors in the Agreement, to compute and insert prices, if omitted or incorrect, or select and determine the quantities, size and kinds of rented items if not specified in the Agreement and insert the specifications thereof into this Agreement, all with the same force and effect as if originally set forth herein. All rental products are subject to availability and are offered with the understanding that previously used equipment in good working condition and in conformity with DOKA’s quality standards for used equipment will be supplied. In no event shall Customer remove, or cause or permit to be removed, the rented products to any location other than the project site. The Customer is not entitled to sublease or lend rental products or parts of the rental products in any other ways to third parties without the prior consent of DOKA. Breach of this provision shall be deemed a material breach of the terms of this Agreement.
PRODUCT RENTAL. Rental rate(s)/charges shall be as indicated in this Agreement and are quoted as a percentage of List prices for a 28-day rental period. Rental of all items start on date of delivery to carrier or Customer, and end on the date of receipt of return at DOKA’s warehouse. The minimum rental period is 28 days. All Rentals after the twenty- eight (28) days minimum rental charge are charged at a daily rate based on the agreed rental rate. DOKA is hereby authorized and empowered to correct evident errors in the Agreement, to compute and insert prices, if omitted or incorrect, or select and determine the quantities, size and kinds of rented items if not specified in the Agreement and insert the specifications thereof into this Agreement, all with the same force and effect as if originally set forth herein. All rental products are subject to availability and are offered with the understanding that previously used equipment in good working condition and in conformity with DOKA’s quality standards for used equipment will be supplied. In no event shall Customer remove, or cause or permit to be removed, the rented products to any location other than the project site. Breach of this provision shall be deemed a material breach of the terms of this Agreement.
PRODUCT RENTAL. If you choose to keep the unit, or if the unit is not returned for any reason, your card will be charged the listed WME Price listed 2 weeks after the return due date. WME reserves the right to charge MSRP for overdue payments or accounts sent to collection.
