Please print this page and fax to 01782 544810

Long Range Systems Corporate Rental Program

Applications: Large and small companies often need to fill communication gaps outside of their direct offices. The most frequently used applications are for trade shows, sales meetings, conferences and special events. You can reap the benefits of on-site paging without incurring the cost of buying a system.
Rental Process: All pager rentals are based on daily or weekly rates. Please fill out the form below. Each system is equipped with a free transmitter and carrying case. Additional transmitters will be provided at a charge of $50.00 per day.
Shipping Procedure: Pager1 will drop-ship equipment 1 day prior to the event day. The user, when finished, will ship all equipment back to Pager1 next-day air after the event has concluded. All shipping charges will be paid by the end-user.
Payment: The payment will be one of the following: COD upon delivery, by net 15, prepay, or credit card. Any other form of payment must be approved by Pager1 prior to shipping.

Pager1, Link House, Leek Road, Milton, Stoke on Trent, Staffs, ST2 7AH, Tel 01782 537000
Ship-to Address:
Bill-to Address:
Attn.: _________________________________________

Attn.: _________________________________________
Company Name: _________________________________

Company Name: _________________________________
Address: _______________________________________

Address: _______________________________________
City: __________________________________________

City: __________________________________________
State: _____________ Zip: ________________________

State: _____________ Zip: ________________________
Phone:_________________________________________

Phone:_________________________________________
Fax:___________________________________________

Fax:___________________________________________

Qty Product Description Price Per Pager X DaysUsed Amount
. Pager Type - . . .
. Charger - . . .
. Transmitter - Free Free Free
. Additional Transmitter - $50.00 . .
Daily Rates (Per Pager Price)
1 day 20.00
2 day 16.00
3 day 13.00
4 day 10.00
5 day 7.00
Subtotal .
Shipping .
Total ..

Customer Signature:__________________________________________________

Event Due Date: _____________________________________________________

Payment Terms: ______________________________________________________

Return Date to Pager1: __________________________________________________
(If the rented equipment does not arrive at Pager1 on this date, you will be charged the agreed upon daily rate for each additional day past the return date until Pager1 receives the equipment.)

The customer is responsible for returning all equipment in a timely fashion. The customer is responsible in case of loss or theft of equipment. Normal wear and tear are acceptable, but abuse and water damage are not. If equipment is lost or stolen, the customer agrees to pay the following: each pager is 99.00, and the transmitter is 995.00. Abused or water-damaged equipment will be charged at the same rate as lost or stolen equipment.