Customer Rental Form

For clients renting Cash Register & POS Hardware online.

Business name*

First names

Phone

Email Address

Physical Address (for Delivery)

Preferred Contact Method*

Phone

Email

Submit ID & Proof of Address*

Add up to 2 documents.

Rental Package Selection

Preferred Rental Period: (select one)*

Product Selection*

Basic Cash Register (Daily, Weekly or Monthly)ZAR399

Advanced POS System (Monthly)ZAR999

Advanced Tablet POS System (Monthly)ZAR699

Delivery Required?

Yes (Specify Address

No, I will collect from the office showroom

Installation & Training Required?

Yes (Include training for staff)

No, I will set it up myself

Preferred Delivery Date*

Preferred Payement Method

Bank Deposit

EFT (Electronic Funds Transfer)

Credit/Debit Card Payment

Debit Order (Preferred for long-term rentals)

Billing Cycle:

Terms & Conditions Agreement (Required)

I have read and agree to the rental terms and conditions.

NJ Van Der Merwe street,

CW4 Vanderbijlpark

+27-60-888-4041