Tel: 602-612-2000 / Fax: 602-513-890012633 N Cave Creek Rd Suite 105, Phoenix, AZ 85022

Rental Agreement

Please read this before filling out our form.

All items are rented weekly for 7 days or monthly for 30 days. If an extension is needed or you have an item to be picked up we must have a two (2) day notice before your service date. An additional weekly rate begins the following day after your initial week or monthly rental should it not be returned on a scheduled date. Rental on equipment starts the day the equipment is received at home or picked up and stops when the equipment is picked up or returned.

The customer is responsible for replacement costs of damaged, missing, or permanently stained rental equipment. Failure to return rented equipment as agreed upon at rental is considered prima facie evidence of larceny and will be prosecuted. НА - The customer is responsible for replacement costs of damaged, missing, or permanently stained rental equipment. Failure to return rented equipment as agreed upon at rental is considered evidence of theft and will be prosecuted.


Limitation of Liability and Indemnity: limitation of liability no event will SBS MEDICAL SUPPLY be liable to the customer for any incident or injury, indirect or consequential damages however caused, whether by negligence or otherwise.

Indemnity-the customer agrees to protect, indemnify, and hold harmless SBS MEDICAL SUPPLY from and against all claims, damages, and costs including legal expenses arising out of the customer’s use of the equipment.

  • All items must be returned clean and in acceptable condition as when first rented.
  • No pro-rates on rental equipment if returned early.
  • If rental equipment is returned late, then the customer may choose a daily rate of 20% on the agreed contract amount instead of paying a full week or month.

I agree that I have been instructed on how to use the equipment and take full responsibility for the proper use and care of the equipment during the rental period so that it is returned in the same conditions as when received. I fully understand that I am responsible for all damages and therefore repair costs that may arise from the use of the product during my rental period.

Responsible Party (required)
Delivery Address (required)
Items to Rent (required)
Billing Address (required)

By typing in your full name, you are therefore signing this document

Electric Patient Lift Transfer Chair
Electric Patient Lift Transfer Chair