OFF CAMPUS BOOKSTORE

                              RENTAL AGREEMENT FORM


(Please Print Legibly - All Information Must Be Complete)

I, ___________________________________________agree to the following terms and conditions.  I certify I have read and understand the terms of this Agreement.

Signature:____________________________________________Date:______________

STUDENT INFORMATON:

Last Name:_____________________________________________________________

First Name:_____________________________________________________________

Credit Card Billing Address:______________________________________________

City:_____________________________State:______Zip:_______________________

Current Address:________________________________________________________

City:_____________________________State:______Zip:________________________

Email:____________________________Parent’s Phone:________________________

Parent’s Address:________________________________________________________

City:_____________________________State:______Zip:________________________

Student Cell Phone:______________________________

(Student Must Initial Each of the Below Stated Terms)

______1.  I am at least 18 years of age.

______2.  I am entering this Textbook Rental Agreement with the Off Campus Bookstore of my own free will.  I will return the Rental Materials to the Off Campus Bookstore.

______3.  FAILURE TO RETURN.  If I fail to return the Rented Materials by Rental Return Date, or return them in an un-sellable condition, I authorize the Off Campus Bookstore to charge my credit card or debit card listed above: (1) 75% of the new book price PLUS (2) a processing fee of 10% of New Book price, based on the New Book price at time of rental.  The Off Campus Bookstore is not responsible for reminding me of the Rental Return Date.

______4.  CONDITIONS UPON RETURN.  Highlighting and writing in RENTED textbooks is permitted and acceptable.  HOWEVER, Rented Materials must be returned in complete and saleable condition.  This means the spine of the book is intact; there is no damage to the book; all component parts of the book must be present.  I agree that I am responsible for any LOSS OR THEFT of the Rented Materials.

______5. I will not exceed my credit limit or cancel this credit card account before returning
the rented textbooks.

______6.  REFUND/RETURN.  The Bookstore’s standard refund/return policies apply to this Agreement.

______7.  TAXES.  Normal tax rates apply to this transaction and any transactions related to this Agreement.

______8.  HOLD ON GRADES.  I authorize placement of a hold on my grades if I fail to comply with the terms of this Agreement.

______9.  RETURN DATE.  I AGREE TO RETURN THE RENTED TEXTBOOKS/MATERIALS NOT LATER THAN THE RETURN DATE OF DECEMBER 17th 2010. 
I HAVE BEEN PROVIDED A COPY OF THIS AGREEMENT.    _______(Student’s Initials )

TO EXPIDITE PROCESSING, COMPLETE THIS FORM BEFORE GOING TO STORE EMPLOYEE