Order Form

Please fill out all details below to place your order, then call 1300 726 666 (AEST Monday-Friday 9am-5pm; or Saturday-Sunday 9am-2pm) to process payment for your rental.

For enquiries outside these hours, we will call you to process payment the following day.

Note: A valid drivers license and credit card are required for all orders. 



    Phone *

    Address *

    Suburb *

    State *

    Maternity Products *

    Date required
    Our initial rental term is 4 weeks after which you will roll over onto a weekly rental until the pump is returned.

    Collection from mybreastpump pick-up location

    Please enter the code shown into the box*

    Please have your drivers license and credit card ready when you call to pay for your order.

    MyBreastpump Pty Ltd

    A subsidiary of Medi-Rent Pty LTd

    Unit 3, 61 Beauchamp Rd

    Business Hours

    Weekdays: 9am to 5pm AEST

    Weekends: 9am to 2pm AEST


    For problems with your rented equipment please call 1300 726 666 and leave a message. We will call you back as soon as possible.

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