Rent a Sat Phone
The Riseley Corporate Centre
Suite 32-34
135 Riseley St
Booragoon WA 6153
Tel: 1300 851 591
Fax: (08) 9315 3099
Mob: 0400 997561

Rental Order Form

Information you submit via this form will be treated as if it were strictly confidential and will not be passed on or sold to a third party. We value and respect your business.

Download:
Adobe Pdf Format for printing and faxing.

Personal / Business Information

Company Name:
Surname:
First Name:
Postal Address:
Business Address:
Residential Address:
Country:
Home Phone:
Work Phone:
Fax:
Email:

Satellite Phone Requirements

Daily Rates

0 - 14 days:		$21 per day
15 - 28 days:		$18 per day
29+ days:		$16 per day
3 months+:		$11 per day

Satellite Mode

Outgoing calls are charged at $2.00 per 30 seconds.
SMS messages charged at $1.00 per message.
There are no charges for incoming calls.

Insurance

Insurance is not offered on rental of handsets. If lost, stolen or damaged beyond repair, customer will be charged at the replacement value of up to A$2,100 plus GST. Repairs will be charged to the customer at cost price plus 25%. Rental charges apply during repair periods.

Credit Card Information

We will call you for your credit card information once we receive this booking form. Or you may call us on 1300 851 591. Please be ready with your Card Number, Card Type (Visa/MasterCard prefered) and Expiry date information.

Arrival / Delivery Details

Pick Up/Delivery date:
Pick Up/Delivery Time:
Delivery Address:
Delivery Required (surcharge applies):
Expected return date:
Return location:
		I would like you to mail an itemised account to the above address, once I have returned the phone.

Finally

Please fill in the details above. If you have any questions, please write them in the space below. Feel free to call us on 1300 851 591. A pdf version of this form is available should you wish to send Credit Card details by fax for speedier processing. Please be aware we are open monday to friday 9am - 5pm and all pickups and returns need to be made during this time. Any returns due back outside these hours will incure a daily rental until return is made during normal business hours.

Additional comments: