Call Us: 1300 726 666 - Mail: info@medirent.com.au

Order Form



Please complete all fields on the form below.

Your order will be entered into our system for review by our customer service team.

After submitting your order please phone our office on 1300 726 666 to provide payment and ID information so that your order can be dispatched. 

Your order is not guaranteed until payment has been made and your rental contract signed. 

Name*

Email*

Phone *

Address *

Products *

Vascular and Sports Recovery
LX9Bio Compression 16-Chamber BioPantsBio Compression 8-Chamber GarmentsBio Arterial PlusDVT-2600Rebound RecoveryCryo-thermo Band

Orthopaedic
OsteotronLX9Cryo-Thermo BandKinetec KoolerCPM - ShoulderCPM - ElbowCPM - KneeCPM - Ankle

Date required

Delivery or pick-up from our warehouse (Delivery may incur an additional fee)
DeliveryPick-up

Physician / Therapist name if applicable

Any extra information

Please enter the code shown into the box*
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Medi-Rent Pty Ltd


Unit 3, 61 Beauchamp Rd
MATRAVILLE NSW 2036

NATION-WIDE DELIVERY

P: 1300 726 666
I: 02 9700 1744
F: 02 9316 9998

info@medirent.com.au
www.medirent.com.au


Business Hours


Weekdays: 9am to 5pm

After-hours


For after-hours emergencies with your equipment please call 1300 726 666 and leave a message. We will call you back as soon as possible.


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