EmailMe Form - mPole Pole Rental Form

Length of Hire

	Please Tick
Overnight - ($395) + Delivery
Weekend Hire (Fri-Sun) - ($495) + Delivery
On Going (4month Min) - $35/week + Delivery

$300 Bond applies to all rentals

Typical delivery charges
Maitland .......................From $75
Newcastle .....................From $100
Hunter Valley..................From $150
Central Coast.................From $250
Sydney Metro ...............Typically $450–650

Travel charges may vary depending on access, stairs, parking and travel time.

Height of Ceiling?

The height of the ceiling where you would like to set the pole up

*

I understand that if the height isn't correct, we won't be able to install the Pole on delivery & will need to redeliver and this incurs a fee of $150

Is there stairs upon access to Pole Set Up Area

Name

First Last

Phone

Email

Delivery Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Perferred Delivery Date

DD / MM / YYYY

Perferred Delivery Time

	Please Tick
Morning (6am - 9am)
Midday (10am - 2pm)
Afternoon (3pm - 5pm)
Evenings (6pm - 9pm)

Are you currently doing Pole Lessons?

Yes

No

What Day/Time/Class/Studio?

Please let us know where & when your doing classes this is to ensure your safety when training at home. Example:
Monday/9.30am/Mum's&Bubs Pole/mPole