11-24-2010 NeoPost Agreementneoposum
tion (A) Dealer Information
Dealer Number: Dealer Name:
948 Complete Mailing Solutions
Section (B) Billing Information
Company Name (Full legal name):
Town Of Avon
Model /Part Number
DBA:
1
Mailing Address:
P.O.Box 975
NEOPOST IS440 MM & 10 -LB SCALE
City:
Avon
IS44OPSD
State:
CO
Zip Code + 4:
81620
County:
EAGLE
RATE CHANGE PROTECTION
Contact Name:
Email Address:
Phone Number:
970 748 4000
Fax Number.
970 949 9139
Purchase Order # -
New Lease #:
Tax Exempt? (Exemption Certificate is required if Yes) ® Yes ❑ No
MailFinance Lease Agreement
For use with all Neopost Products
Phone #: Date Submitted:
303 761 0681
Section (C) Installation Information (If different from billing information)
Company Name (Full legal name).
Town Of Avon
Model /Part Number
DBA:
1
Installation Address (No PO Boxes)-
400 Benchmark Rd
NEOPOST IS440 MM & 10 -LB SCALE
City:
Avon
IS44OPSD
State:
CO
Zip Code + 4.
81620
County.
RATE CHANGE PROTECTION
Contact Name:
Email Address:
Phone Number:
970 748 4000
Fax Number
970 949 9139
Main Post Office:
New Lease #:
Post Office Zip Code + 4:
❑ Use my existing POC Account Number:
Aartinn /n1 Fmiinmant
Quantity
Model /Part Number
Description Include serial # if applicable)
1
IS440PLUSWP10
NEOPOST IS440 MM & 10 -LB SCALE
1
IS44OPSD
NEOPOST METER
1
RCP
RATE CHANGE PROTECTION
1
CMS
MAINTENANCE
$
Current Lease #:
New Lease #:
Sarfinn /F1 P—manf Infnrmatinn
Billing Frequency: ® Monthly ❑Quarterly ❑ Annually
# of Months
Monthly Payment (Plus applicable taxes)
First
19
$137.09
Next
44
$182.09
Next
$
Next
$
Current Lease #:
New Lease #:
Section F ACH Direct Debit For lease payments only)
Bank Name:
Bank Contact Name: Bank Contact Phone:
Bank Routing Number: Bank Account Number.
"Please attach a blank voided check. A deposit slip will not be accented."
Section (G) Services (Check all that apply)
® Postage Meter Rental
® neoFunds Postal Management (for eligible accounts)
❑ Online Advantage
® Online Rate Protection
❑ Online Postal Expense Management
❑ Online USPS eServices
❑ Online USPS eServices with Electronic Return Receipt
® Rate Change Protection /eRCP Contract
❑ Software Advantage (for electronic shipping and accounting applications)
® Maintenance (provided by your authorized Neopost Dealer)
® Professional Installation & Training (provided by your authorized Neopost Dealer)
Section (H) Approval
This document consists of an Equipment Lease ( "Lease ") with MailFinance Inc.; and /or a Postage Meter Rental Agreement and an Online Services and Software Agreement
with Neopost USA Inc.; and a neoFunds 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 (versions DL- 10.09), which are also available at
htto: / /www.ne000stinc.com /terms /Dealer- Lease- 10- 09.odf 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
c
A orize� at a Date Accepted
J /r/ c cn rj QS� 12
Print Na and itle
MailFinance Authorization Date Accepted
478 Wheelers Farms Rd, Milford, CT 06461 MF- N- LeaseAgrmt- 20100211