Finance

Aug 2 2017

Knee Walker Rentals near Austin, Texas #house #for #rent #to #own


#knee walker rental
#

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Rental Charges per week: $35.00 Base Model or $40.00 Elite Model (two week minimum)

Rental Charges per month: $100.00 Base Model or $150.00 Elite Model

Purchase Price: Starting at. $395.00

Deposit Required: $100.00

I agree to pay Knee Walkers of Texas the deposit amount, plus two weeks rental fee (or monthly rate of $150.00)

Start Date of Rental________________________________20__ _

End Date of Rental_________________________________20__ _

Any Knee Walker rented which has been lost or damaged while in your care will be charged at the replacement cost of the knee walker.

Note any defects at the time of Rental: __________________________________________________________________________________

__________________________________________________________________________________________________________________

Customer Name: First: __________________________________________ Last: ______________________________________________

Address: ___________________________________________________________________________________________________________

City: _____________________________________ State: ___________________________ Zip Code: ______________________________

Daytime Phone: ____________________________________ Cell: ____________________________________________________________

Email: ______________________________________________

Deposit Amount: ___________________________________ Rental: __________________________________________________________

Signature: ___________________________________________________________ Date: _________________________________________


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