Hireform

 
 

If you'd like to send your order details via the Internet then click here.  If you'd prefer to pay your deposit or order completely on-line, please click here.

If you're unsure of anything, or would like to make any enquiries before hiring a Birthing Pool, then please contact us. Thank you.

Please print this form and complete to hire a Birthing Pool.
     
Name:
....................................................................
Address:
....................................................................
  ....................................................................
Town/City:
....................................................................
County:
....................................................................
Post Code:
....................................................................
 
Tel:
....................................................................
Fax:
....................................................................
E-mail:
....................................................................
Mobile/work:
 
 
Pool Delivery Address
(if different from above):
....................................................................
  ....................................................................
  ....................................................................
  ....................................................................
  ....................................................................
   
Booking Dates:
From:......../......../........    To:......../......../........
 
   
Birthing Tub Requirements
   
click here to view pricing
   
Please tick one option:
 
      
      
 
 
  
Your choice of pool:
 
      
Folding Rectangular:       
      
   
Disposable Liner:
     
Hexagonal:
      
Rectangular:       
   
Delivery:  
Overnight Courier:
      
Local Delivery:       
Customer Collect & Return:
      
(Please arrange with your local hire base, if applicable.)
If you are collecting your pool, please phone to make arrangements.
     
   
By signing this document you agree to our (BirthWorks) terms and conditions.
   
Signed:.........................................................
Date:......../......../........
   
   
If you have any enquiries please do not hesitate to contact us.
Tel: 020 8244 0793