First Name*
Last Name*
Email*
LOANED TO:
Address*
Florida Driver's License
Brown Tru Catch trap(s) replacement cost $87 each =
Tru Catch Fat Cat trap(s) replacement cost $111 each =
TNC GT606 replacement cost $90 each =
Drop Trap(s) replacement cost each $150 =
Trap divider tool(s) replacement cost $26 - $30 each:
Bricks: Yes or no
Bungee cords: Yes or no
Heavy dish: Yes or no
Plastic cover: Yes or no
Trap cleaning deposit (cash only) $10 each. Failure to clean and disinfect trap(s) will result in loss of cleaning deposit(s) =
Refundable security deposit (equal to total replacement value of equipment borrowed) and cleaning deposit paid? Answer Yes or No in the space below.
Total deposits due:
After using, wash brown traps with a soft brush and soap and water. Then spray a solution of 1 part chlorine bleach to 20 parts water and let sit for not more than five (5) minutes. Rinse completely and towel dry to prevent rusting.
I agree to return this equipment to Everett Animal Welfare Group in good and clean condition as soon as I have completed trapping. I acknowledge that since Everett Animal Welfare Group Florida, Inc. has a limited number of such traps, I agree to trap at least once a week. If at any time Everett Animal Welfare Group notifies me that it has need of the equipment it has loaned to me, I will promptly return all equipment in good and clean condition or forfeit my deposits.
Answer YES or NO in the space below. By answering YES below and providing my name as Borrower, I agree to the statement above about returning any equipment I borrowed from Everett Animal Welfare Group. **
Borrowed by:
Witnessed by:
Date
Expected return date:
Date returned:
Contact: Cindra Anderson (text is best) - 850-501-1531
Check # and Amount:
Cash amount:
Non-refundable rental donation ($10 per brown trap - $15 for a drop trap) paid? Answer Yes or No below.
Check # and Amount
Cash:
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