Medela Breast Pump Rental Online Rental Procedure

Additional Pump rental information

.Las Vegas or Henderson residents CLICK HERE.

Online Breast Pump Rental Procedure for Non-Las Vegas Residents

1.) Place your order and check out.Click Here
2.) A Rental Agreement will be emailed to you in PDF format.
3.) Print, sign and date both pages of the agreement.
4.) Return the signed agreement by scanned email attachment or fax to 1-509-463-8512.

  • *CLICK HERE if you would like to review a sample Rental Agreement, or scroll down.
  • Your breast pump (and supplies if needed) will be shipped the same day if your signed Rental Agreement is received before 2pm PST, (M-F) or shipped the next business day if after this time.
  • Breast Pumps are shipped from Las Vegas, Nevada via Fedex Ground Home Delivery, or can be shipped USPS Priority Mail for an extra charge. (See below for shipping times.)
  • Your rental period will begin on the day the breast pump arrives.
  • Each rental month is a full month, starting and ending on the calendar day that the breast pump arrived.
  • After your prepaid period, your credit card will be automatically charged MONTHLY until rented equipment is shipped and tracking number supplied, as stated in Rental Agreement.
  • There is no security deposit required.
  • We clean all breast pumps between rentals and you do not have to pay a cleaning fee.
  • Sorry, no prorated refunds will be given.
  • Return shipping cost is the responsibility of the lessee.
  • Upon request, we will provide a RETURN Fedex shipping label ($22 or $28 charged to your credit card depending on your location) as long as you use the original box to ship the pump back.
  • All Medela breast pump rentals require a signed Rental Agreement.

    Thank-you for considering Angel Breast Pumps for your Medela Breast Pump provider.
    We appreciate your business!

    CLICK HERE to return to Hospital Grade Breast Pump Rentals MAIN PAGE

    Fedex Transit Times Map

    Fedex Transit Times Map Transit Times

    For faster shipping, USPS Priority Mail (2 day shipping time to most locations) is available for an additional $20.00.

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    The following Rental Agreement is for your review only.
    If you have questions, please call (702)862-6435 or Click Here to go to the Hospital grade rental page where you may place your order. After your order is received, the Rental Agreement will be emailed to you (with the appropriate information filled in) which you can then print, sign and return to us.

    SAMPLE ONLY Medela Breast Pump Rental Agreement

    Rental Station Information:
    Name: ______________________________
    Address: ____________________________
    City State Zip: _______________________
    Telephone Number: ___________________
    Fax Number: ________________________
    Email Address: _______________________

    Lessee Information:
    Name: ______________________________
    Address: ____________________________
    City State Zip: _______________________
    Telephone Number: ___________________
    Email Address: _______________________
    Date of Birth: ________________________
    Drivers License Number:________________

    Type of Equipment and Serial Number
    Lactina or Symphony® serial number listed here

    Payment Info
    VISA (or other) ending with 1234

    I authorize Rental Station to charge my credit card according to the rental plan listed below, monthly until rented equipment is returned AND a tracking number is supplied.
    I understand and agree that rental fees renew in monthly increments unless a pro-rated period is approved prior to renewal date.


    Signature of card holder_______________________________date_________

    RENTAL PAYMENT PLAN:
    Monthly Rental = ______ per month
    Prepaid Rental period: _____ - _____ = $_________
    Supplies (if any are needed) = $____________
    Shipping Charge (IF applicable) = $_________
    total to be paid with credit card = $_________
    Additional Rental Fees will be charged automatically each month on the ___, starting on _______ until rented equipment is returned.*

    * IMPORTANT:  A tracking number (for your return shipment) is REQUIRED to cancel this rental agreement and to stop the automatic monthly charge. Breast pump must be shipped and tracking number supplied BEFORE monthly renewal. Sorry, no prorated refunds.

    Deposit and Prepayment
    The Rental Station has waived the security deposit.
    The Rental Station has received a payment of $_____ which will cover the rental until _____ and is non-refundable once pump has shipped.

    **Lessee is responsible for return shipping charges.
    Return shipping must be through Fedex, UPS or USPS Priority Mail - NOT Parcel Post.
    RETURN SHIPPING INSTRUCTIONS are taped on the pump carry case.
    If you would like to purchase a RETURN Fedex shipping label for ___ please call or email at least one day before you plan to ship the pump, confirming that you saved the box. QUOTED RETURN COST CONTINGENT UPON USING THE SAME BOX to ship the pump back in – Thank-you!


    PRIVACY NOTICE
    We do not disclose any non-public protected information about our customers or former customers to anyone, except as permitted by law. We restrict access to non-public protected information about you to our employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your non-public protected information.

    Terms of Agreement
    This Agreement for the rental of a Medela Product and carrying case (“equipment”) is made between Rental Station and the Lessee identified at top.
    1. The equipment remains the property of Medela, Inc. McHenry, IL. Lessee has no rights to such equipment except as expressed in this Agreement.
    2. Lessee may purchase an accessory kit. The kit becomes property of the Lessee.
    3. Lessee agrees to pay the rental fees in accordance with the fee structure established shown under the rental payment plans above. The rental fee is due in advance.
    4. The rental rates for the equipment and the purchase price for the kit do not include any applicable sales or use tax.
    5. Lessee shall leave a security deposit with the Rental Station. (WAIVED)
    6. Lessee agrees to inform the Rental Station of any change of address.
    7. Lessee agrees not to move the equipment out of State without the consent of the Rental Station.
    8. Lessee agrees to allow no person other than Lessee to use the equipment provided.
    9. Lessee agrees to return the equipment in clean condition.
    10. Lessee agrees to return the equipment in good repair. If the equipment is not in good repair, Lessee agrees to pay Rental Station a charge of $30.00. If parts are missing or damaged, Lessee agrees to pay for replacement.(ie: Card protector = $42.00, Power cord = $25.00, Carrying case = $133.00)
    11. This Agreement shall be construed under the laws of the State where the Rental Station is located.
    12. The Lessee shall be responsible for all reasonable legal fees and other costs involved in collection of overdue amounts and/or recovery of equipment.
    13. The Rental Station has the right to cancel this agreement at any time with three days notice.
    14. Lessee agrees to allow Rental Station, Medela, Inc. or any agency involved in collection of overdue amounts and/or equipment to obtain a credit report on Lessee.

    RENTAL STATION WARRANTS TO REPAIR OR REPLACE ANY EQUIPMENT WHICH IS OR BECOMES DEFECTIVE UNDER NORMAL USE. RENTAL STATION AND MEDELA, INC. WILL NOT BE LIABLE FOR INCIDENTAL, CONSEQUENTIAL OR ANY OTHER DAMAGES RESULTING FROM DEFECTIVE EQUIPMENT; THEIR LIABILITY IS LIMITED TO REPAIR OR REPLACEMENT OF THE EQUIPMENT. THIS WARRANTY IS GIVEN IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED.

    Required Signature (LESSEE)
    Signature of responsible party
    (must be at least 18 years of age)________________________________Date_______

    CLICK HERE to return to top of page.


    **SAME DAY SHIPPING applies to orders placed before 2:00pm Pacific time, Mon. - Fri.
    ~ Questions? Send email to: info@angelpumps.net ~

    For help with low suction or an ERROR message on your SYMPHONY RENTAL, please click here

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