Name:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
*
example@example.com
Phone Number:
*
-
Area Code
Phone Number
Referral By:
Dr. Altomare
Dr. Anderson
Dr. Chaudhary
Dr. Chow
Dr. Curran
Dr. Devenyi
Dr. Eng
Dr. Giavedoni
Dr. Gonder
Dr. Hooper
Dr. Iqbal
Dr. Juncal
Dr. Kertes
Dr. Mandelcorn
Dr. Muni
Dr. Salyani
Dr. Sheidow
Dr. Tayfour
Dr. Wong
Other / Not Listed
Required Date:
*
-
Month
-
Day
Year
Date
Select a Rental and Delivery Option:
*
prev
next
( X )
Table Top Unit
$
154.00
CAD
Rental Rates
7 Day Rental
10 Day Rental
14 Day Rental
Daily Rate
Quantity
Chair Rental
$
168.00
CAD
Rental Rates
7 Day Rental
10 Day Rental
14 Day Rental
Daily Rate
Quantity
Table Rental
$
185.00
CAD
Rental Rates
7 Day Rental
10 Day Rental
14 Day Rental
Daily Rate
Quantity
Combo Rental
$
479.00
CAD
Rental Rates
7 Day Rental
10. Day Rental
14 Day Rental
Daily Rate
Quantity
Face down Reflective Mirror
$
35.00
CAD
Rental Rates
7 Day Rental
10 Day Rental
14 Day Rental
Daily Rate
Quantity
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Credit Card
Pickup / Delivery Options:
- Pickup (London): Priority Massage and Health, 172 Wortley Road, London)
Disclaimer:
*
I (Rentor) agree to rent a sleeping table from Retina Real Sleeping Tables and use table and use at my own discretion. I acknowledge that Retina Heal Sleeping Tables have properly instructed me on use and set up of table. I acknowledge that I have watched the set-up videos on the website for proper and safe use if equipment if it was delivered to me. The Rentor agrees to indemnify and hold harmless Retina Heal Sleeping Tables of and from any and all claims, demand, losses, causes of action, damage, lawsuits, judgments, including reasonable attorneys’ fees and costs, arising out of or relating to any breach by the Rentor of this Agreement.
Submit My Order
Should be Empty: