TheBumpWA PREGNANCY BELLY BAG AGREEMENT
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Hire Equipment and Period
Period of Hire From:
To:
Value $30.00
Returnable Deposit $50.00
Total Cost $80.00
Pack Contains
1 Pregnancy Belly Bag
Extension of Hire
The period of hire is usually 5 weeks – additional weeks are charged at $6.00
per week.
Acceptance of Terms
I accept and understand the terms and conditions of hire, as stated in the
conditions attached.
_______________________________________ Hirer’s Signature
Payment Details I authorise TheBumpWA to debit by credit card for hire, damage or loss of
equipment and accessories.
Cash
Cheque Please make cheques payable to: The Bump WA
Credit Card  Mastercard
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Expiry:
/
 Bankcard
 Visa
CCV last 3 number on back of card
Name of Card Holder:
________________________________
Signature of Card Holder:
________________________________
TheBumpWA PREGNANCY BELLY BAG
As a fundraiser for The Bump Wa, we hire out pregnancy belly bags.
The Belly Bag is a unique bean bag, specifically designed for professional use and for
relaxation during pregnancy. The hole in the centre surrounds and supports the body,
allowing you to sleep, read and relax on your stomach.
The body transforms with the creation of new life and in preparation for delivery. Aches and
discomfort during pregnancy are often side effects experienced as the body makes it’s
preparation for birth.
Enlargement of the abdomen alters the centre of gravity. The body compensates for this
change in balance, increasing pressure on the neck and lower back. A rush of the hormone
Progesterone softens the tendons and ligaments and the usually stiff joints of the pelvis begin
to loosen up to allow for an easier passage for the baby to deliver. This puts stress on the
lower back muscles causing backache.
In the case of posterior and breech baby positions, resting with the abdomen facing
downwards in the Belly Bag can help to turn the baby to optimal position for labour and birth.
The enlarged belly makes it difficult to find a comfortable resting position. The Belly Bag
contours to the shape of the individual, supporting the body as required for maximum
comfort.
$30.00 for a 5 week hire period - Extra weeks $6.00 per week
The price is pick up – postage costs $13.00, one waY.
Can be used at home or in hospital.
We take great pride in ensuring our customers are completely satisfied with the condition and
standard of our tens machines and our friendly efficient service.
Nothing but the best for you and your baby.
Important Terms and Conditions:
Advance Bookings Essential.
 Our hire agreement is for a five week rental period.
 There is no refund if you don't end up using the machine.
 Booking cancellations incur a $20 administration fee which is deducted from
the $50 deposit.
 Your deposit is refunded on return of the machine if it is on time, in good
condition with all accessories included. The refund will be credited to your
account approx 1 week from the date of return.
To book a Pregnancy Belly Bag please fill in the Hire Agreement form and
return to
Sue Clark at TheBumpWA on E: admin@thebumpwa.org.au
F: 9430 6068 T: 9430 6882