08-10-2015 Town of Avon MailFinance Lease Agreement.pdfSection (H) Services
Section (G) Postage Meter & Postage Funding Information
Company Name Town of Avon
Phone (970) 748-4000
Billing Address 1 Lake Street
City State Zip+4 Avon CO 81620
Section (B) Billing Information
Contact Name
Email Address
Fax
Town of Avon
Section (C) Installation Information (if different from billing information)
Tax Exempt
Online Postal Rates
Online Postal Expense Management
Online E-Services
NeoShip
Software Advantage
3562606
Section (F) ACH Direct Debit for Lease Payments
PO #
DBA
Phone (970) 748-4000
Installation Address POB 975
City State Zip+4 Avon CO 81620
Contact Name
Email Address
Fax
Main Post Office Name
DBA
Maintenance
Section (D) Products
Section (E) Lease Payment Information & Schedule
Bank City State
Post Office 5-Digit Zip Code
Bank Name
Bank Contact Name Online E-Services with Electronic Return Receipt
Section (I) 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 DealerLease-06-
13), which are also available at http://www.neopostusa.com/terms/DealerLease-06-13.pdf, and that you are authorized to sign the agreements on behalf of the customer
identified above. The applicable agreements will become binding on the companies identified above only after an authorized individual accepts your offer by signing below, or
when the equipment is shipped to you.
____________________________________________________________________________________________________________________ _________________
Authorized Signature Print Name and Title Date Accepted
____________________________________________________________________________________________________________________ _________________
Accepted by Neopost USA and its Affiliates Date Accepted
Form L51186e-07/13 Terms Revision R-06-13 (PF)MailFinance, 478 Wheelers Farms Rd, Milford CT 06461
Product Lease Agreement
with Meter Rental Agreement
Section (A) Dealer Information
Dealer Office Number
9480
Dealer Office Name
Complete Mailing Solutions
Phone #
3037610681
Date
08/10/2015
Contact Title Contact Title
(Attach Voided Check)
Certificate attached
Taxable
Monthly
Quarterly
Annually
Billing Frequency:
Tax Status:
Billing Method:
Standard
Government Payment
in Arrears
Bank Routing Number Bank Account Number
Postage Funding Method:
Bill Me
Prepay by Check
ACH Debit
Attach ACH
Authorization Form
OMAS / CPU POC
New
TMS
Existing
Existing Account Number:
Postage Funding Account:
Rate Protection
None
Covered Product:
iMeter Apps
Software Covered Product:
Services
Current Lease Number
N10121337
New Lease Number
Company Name
Bank Contact Phone
Installation/Training
OMAS Agency Code
Attach USPS CPU
Authorization Letter
IN600AF10P85
Subscription
Qty NLEqptDetailIDLeaseID Description (include Serial Number, if applicable)Model / Part Number
1 (MS85LP) IN-600 Base w/ Autofeeder and INWP10IN600AF10P85
Number of
Months
Monthly Payment
(Plus applicable taxes)
60 $183.95First