HomeMy Public PortalAboutCPC-Neopost Mail MeterMailFinance
A Neopost USA Company
Product Lease Agreement
with Meter Rental Agreement
Section (A) Office Information
Office Number:
Office Name:
Office Phone #.
Date Submitted:
Section (B) Billing Information
Company Name (Full legal name):
City of Crestview, Accounts Payable
DBA:
Billing Address:
198 North Wilson Street
Billing City:
Crestview
State.
FL
ZIP Code + 4:
32536
Billing Contact Name:
Brenda Posey
Contact Phone Number:
850 682 1560
Billing Contact Title:
Accounts Payable
Contact Fax Number'
Billing Contact email Address:
brendaposey@cityofcrestvlew.org
Purchase Order Number:
Section (C) Installation Information (if different than Billing Information)
Company Name (Full legal name):
SAME
Installation Address (No PO Boxes or General Delivery):
SAME
Installation City:
SAME
State:
ZIP Code + 4:
Installation Contact Name:
Brenda Posey
Phone Number:
850 682 1560
Installation Contact Title:
Fax Number:
Installation Contact email Address:
SAME
Main Post Office Name / Mail Drop off:
Post office 5-Digit ZIP Code:
Section D) Products
Quantity
Model /Part Number
Description (Include Serial Number, if applicable)
❑ See additional listed products on attached continuation schedule.
1
1
IN600HFW5/INWP5DW/IN600HFAI
IN600HF MAIL SYSTEM
2
3
Mail Processing Equipment
Florida State Term Contract #44102100-17-1
4
CityofC'view PO #CAP7312018
60 Month Lease $96.37 per month
Section (E Lease Pavment Information h Lease Pavment Schedule
Tax Status:
® Taxable
❑ Tax -Exempt
(Certificate attached)
Billing Frequency:
❑ Monthly
® Quarterly
❑ Annually
Billing Method:
® Standard
Period
# of
Months
Monthly Payment
(plus applicable taxes)
First
60
$98.37
Next
Next
Next
Current Lease Number:
❑ ACH (Customer to submit authorization form)
Section (F) Postage Meter 8 Postage Funding Information
Meter Model:
Machine Model:
Postage Funding Method:
® Bill Me
❑ Prepay By Check
❑ ACH Debit (Customer to
submit authorization form)
Postage Funding Account:
® New
❑ Existing Account
TMS Account #
POC Account #
Service Products (Check all that apply)
tgl Online Postal Rates IMeterTM App (SP10)
❑ Online Postal Expense Manager iMeterTM App (SP20/NeoStats)
❑ Online EServices IMeterTM App (SP30)
❑ Online E-Services with Electronic Return Receipt iMeterTM App (SP35)
❑ NeoShip BASIC - Requires NeoFunds/TotalFunds (EP70)
® NeoShip PLUS - Requires NeoFunds/TotalFunds (EP70PLUS)
❑ NeoShip ADVANCED - Requires NeoFunds/TotalFunds (NEOSHIPADV)
® NeoShip Install & User Guide (EP70GUIDES)
❑ RunMyMail
® Maintenance (provided by your authorized office)
® installation 3 Training (provided by your authorized office)
❑ Annual Software Support (Maintenance)
Covered Product:
Section (G) Approval
Existing customers who currently fund the Postage account by ACH Debit will not be converted to NeoFunds/TotalFunds unless initialed here
This document consists of a Product Lease ('Lease') with MailFinance Inc.; and a Postage Meter Rental Agreement ('Rental Agreement'), and an Online Services and Software Agreement
with Neopost USA Inc.; and a NeoFunds/TotalFunds Account Agreement with Mailroom Finance, Inc. Your signature constitutes an offer to enter into the Lease and, If applicable, the other
agreements, and acknowledges that you have received, read, and agree to all applicable terms and conditions (version Commercial-Equipment-Lease-Agreement-LISPS-Dealer-v4-18), which
are also available at htlos.//www neopost.com/terms/commerolal-eoulomen -lease-terms-uses-dealer-v4-18 odf. and that you are a dhodzed to sign the agreements on behalf of the customer
identified above. The applicable agreements will becom_ binding on the companies identified above only after an authorized individual accepts your offer by signing below, or when the
equipment Is' h)pped to yo
Authorize gnat e
sk—ft e?/-Ye e
ed: /7_3/_,v
Print Name and Title
Date Accepted
Accepted by Neopost USA and its Affiliates
Dale Accepted
MailFinance Inc. • 478 Wheelers Farms Road • Milford, CT 06461 • www.ne000st.com
MailFinance Lease I Commercial-Equipment-Lease-Agreement-USPS-Dealer-v4-18 •