Loaner Request Form

Shop Name
Your Name
First Last
Phone
Email
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What loaner is needed?
- Invertaspot GT Gun
- XPress 800
XPress
- PowerPack
- Short Stroke Cylinder
- JLR Short Stroke Cylinder
- PushPull Cylinder
- BR20
- BR50
- BR80
- BRN50
- Small C-Arm
- Medium C-Arm
- Large C-Arm
Invertaspot GT
- Non-Automatic GT
- Automatic GT (circle connector to welder)
- Automatic GT UL Gun (rectangle connector to welder)
IV. Borrower Responsibilities This Agreement and the responsibilities as outlined hereunder are not transferable without the written approval of Lender. By executing this Agreement, the Borrower agrees to comply with the terms set forth below: A. Insurance The Borrower is responsible for the full cost of repair or replacement of any or all of the Equipment that is damaged, lost, confiscated, or stolen from the time Borrower assumes custody until it is returned to Lender. If the Equipment is lost, stolen or damaged, Borrower agrees to promptly notify the Lender Representative designated above. B. Use/Disclaimer The Borrower shall be responsible for the proper use and deployment of the Equipment. The Borrower shall be responsible for training anyone using the Equipment on the proper use of the Equipment in accordance with any Equipment use procedures. C. Delivery and Return of Equipment The Borrower shall be responsible for the safe packaging, proper shipping, and receiving of the Equipment at time of return. The Equipment shall be returned within a reasonable amount of time after the Loan Period end date identified on Exhibit A. The Equipment shall be returned to: Reliable Automotive Equipment Attn: Bill DeMaria 58 Leonardville Road Belford, New Jersey 07718 D. Maintenance and Repair Equipment shall be returned to Lender in as good a condition as when received by the Borrower, except for reasonable wear and tear. The Borrower agrees to be held accountable for any damage done to the equipment while it is in their care, or due to poor packaging for return. E. Indemnification In consideration for the Equipment loan, the Borrower agrees to indemnify, defend and hold Lender harmless from any and all damages, losses, claims, causes of actions, expenses and liability of any nature whatsoever associated with its use of the Equipment while under the care, custody and control of Borrower unless due to the negligence of Lender.
Agreement
I agree to the loaner request policy
Comments
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