Loading...
HomeMy Public PortalAboutCPC Public Services Mail Meter (114)MailFinance A Neopost USA Company Section (A) Office Information Product Lease Agreement with Meter Rental Agreement Office Number Office Name Phone # Date 05/09/2018 Section (B) Billing Information Company Name City of Crestview DBA Billing Address j 715 North Ferdon Blvd. I City State Zip+4 ' Crestview FL 32536 Contact Name Kathy Austin Phone I (850) 682-6132 Contact Title Fax (850) 682-6133 Email Address r PO # ; Section (C) Installation Information (if different from billing information) Company Name City of Crestview Installation Address 715 North Ferdon Blvd. City State Zip+4 Crestview FL 1 32536 Contact Name Kathy Austin Phone ;' (850) 682-6132 Contact Title Fax 1 (850) 682-6133 Email Address Main Post Office I. PO 5-Digit Zip Code Section (D) Products Qty Model / Part Number Description (include Serial Number, if applicable) 1 1 IN360SH-P5 IN360 Base w/51b Integrated Weigh Platform, Moistener & Catch Tray IN360DW5 IN360 Base 51b Differential Weighing Section (E) Lease Payment Information & Schedule Tax Status: xable Tax Exempt Certificate attached Billing Frequency. ❑ Monthly © Quarterly ❑ Annually Billing Method: ® Standard Number of Months Section (F) Postage Meter & Postage Funding Information Monthly Payment Meter Model (Plus applicable taxes) First j 60 4 %%, a6 S-}L1 t e. t4. r (01 -4 44-t VOL/ -11- I Current Lease Number: ❑ ACH (Customer to submit authorization form) IN360AI Machine Model IN360SH-P5 i Postage Funding Method: © Bill Me ❑ Prepay by Check ❑ ACH Debit (Submit customer authorization form) Postage Funding Account: ❑ POC ❑ TMS ❑ New ❑ Existing Existing Account Number: Service Products (Check all that apply) © Online Postal Rates iMeterTm App (SP10) ❑ Online Postal Expense Manager iMeterTm App (SP20/NeoStats) ❑ Online E-Services iMeterTm App (SP30) ® NeoShip PLUS - Requires NeoFunds/TotalFunds (EP70PLUS) © NeoShip Install & User Guide (EP70GUIDES) ❑ RunMyMail © Maintenance © Installation/Training ❑ Software Support ❑ 3G/4G Cell Service 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 a plicable, the other agreements, and acknowledges that you have received, read, and agree to all applicable terms and conditions (version DealerLease-VO4- 16), which a so available at http://neopostusa.com/te s/DealerLease-VO4-16.pdf, and that you are authorized to sign the agreements on behalf of the customer identified above. Tea licable agreements wilecome binding"or he companies identified above only after an authorized individual accepts your offer by signing below, or when the equipm dipped to / Authorized Si nature Print Name and Title Date Accepted Accepted by Neopost USA and its Affiliates Date Accepted MailFinance Inc., 478 Wheelers Farms Rd, Milford CT 06461 Form L51186e-04/16 Terms Revision R-04-16 (PF)