Cuidiú Waterford TENS machine rental form

Cuidiú Waterford TENS machine rental form
TENS machine is now available to any local branch member. There is no charge for this service. You may keep your TENS machine for up to two months. In your pack you will find brand new electrodes. However, you may need to purchase batteries.

Many thanks

Cuidiú Waterford Committee
Name (she/her, he/him, they/them)*

First NameLast Name
Email*
example@example.com
Phone Number*
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Address*

Street Address

Street Address Line 2

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My Products
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TENS machine
TENS machine and spare electrodes without batteries

$ Free Quantity

Total

$0.00
Type a question*

I understand that the item are to be returned to Cuidiù Waterford in the time frame outlined. If I fail to return the item I consent to Cuidiú Waterford contacting me as a gentle reminder. After 2 contacts if I still fail to return the rented TENS machine, I agree to pay €60 to Cuidiú Waterford as a replacement.
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