|
<br />TO,SHIBA
<br />BUSINESS SOLUTIONS
<br />Florida
<br />
<br />
<br />SAl,.ESR~~AM~
<br />.c ''r~ ~ ,~;~;_~'.~, e r,' '.
<br />
<br />
<br />37633
<br />
<br />SALES REP NO.
<br />
<br />ORDER STAGE NO.
<br />
<br />-'
<br />" :. ,'7'
<br />
<br />ACCOUNT
<br />
<br />o NEW
<br />
<br />Q.EXISTING
<br />
<br />NATURE OF BUSINESS
<br />
<br />
<br />ACCOUNT NO.
<br />
<br />ACCOUI)IT 0,
<br />
<br />;' ( l~
<br />L r \
<br />
<br />,~~: f
<br />
<br />. I
<br />..r,
<br />
<br />//, .
<br />.#.lC__ f r_.
<br />
<br />,~ .'
<br />
<br />7/
<br />
<br />"
<br />, "
<br />"r '
<br />
<br />COUNTY
<br />
<br />FAX
<br />
<br />STATE
<br />
<br />ZIP+4
<br />
<br />,
<br />I
<br />
<br />; /,/,
<br />
<br />--?,.
<br />
<br />2
<br />
<br />'c' ,.p.
<br />
<br />3
<br />
<br />(~
<br />
<br />/' ...{_-I <:" ," ,~\C /",,,)
<br />
<br />4
<br />
<br />5
<br />
<br />6
<br />
<br />I
<br />
<br />7
<br />
<br />
<br />J
<br />!, , ,
<br />
<br />, 'J
<br />f".~.
<br />"
<br />
<br />
<br />I,.
<br />~ ,f ...- .' /(-1':1 ..~'.("../.. 'j'
<br />
<br />8
<br />
<br />10
<br />
<br />
<br />,r
<br />,-
<br />
<br />-f:~_:1. '7 -1
<br />
<br />
<br />9
<br />
<br />.**
<br />
<br />..(./~d../
<br />
<br />,;\ r
<br />
<br />/
<br />
<br />/
<br />'<'"/'
<br />
<br />11
<br />
<br />DIGITAL INSTALL
<br />
<br />SUPPORT PLUS 0-1 UP TO TWO (2) HOURS
<br />SUPPORT PLUS 0 2 UP TO FOUR (4) HOURS
<br />
<br />SEGMENT 1-5 Black & White & Fax $250.00
<br />COLOR $480.00
<br />
<br />CUSTOMER P.O. NO.
<br />
<br />MAINTENANCE AGREEMENT COPIER & FAX PLAN TYPES
<br />
<br />
<br />E
<br />
<br />Extemal Fiery/controller parts and labor only
<br />
<br />Equipment Line No.
<br />is covered by plan:
<br />at a Base Rate of:
<br />to billed (interval):
<br />and includes allowable copies of:
<br />Excess copies will be billed
<br />at a per copy price of:
<br />
<br />
<br />Covers parts, labor, drums, PM kits and toner
<br />(excludes paper, staples, color toners, optional color units & shipping)
<br />
<br />B
<br />
<br />Covers parts, labor, PM kits, drums only (excludes paper, toner, staples & shipping)
<br />
<br />C
<br />
<br />Covers parts and labor only (exludes drums, paper, toner, PM kits, staples & shipping)
<br />
<br />o
<br />
<br />Covers parts, labor. drums, PM kits and color toner (excludes paper, staples & shipping)
<br />
<br />F Excluded, not covered under any service program
<br />
<br />G Covers parts and labor for non copier equipment (excludes supplies and shipping)
<br />
<br />PERFORMANCE GUARANTEES
<br />Equipment Guarantee - The equipment specified above is conditionally warranted by Toshiba Business Solutions for as long as the above described Company shall own the machine,
<br />provided that is covered by a Toshiba Business Solutions maintenance and support program. The warranty shall cover the plan indicated and is subject to the terms and conditions on
<br />the reverse side.
<br />
<br />Replacement Guarantee - If the equipment specified above is covered by Toshiba Business Solutions maintenance agreement and becomes unrepairable within 36 months from the
<br />date of the agreement, we will replace it with a piece of similar or like equipment at no additional charge.
<br />
<br />
<br />I have reviewed Toshiba Business Solutions Maintenance Agreement
<br />Programs and DO NOT want to participate at this time,
<br />
<br />x 1)0..\1 i D SC\.W\SO-rJ
<br />PRINTED CUSTOMER SIGNATURE' ,
<br />
<br />~
<br />
<br />X
<br />CUSTOMER SIGNATURE
<br />ACCEPTANCE: THIS AGREEMENT IS NOT VALID UNLESS SIGNED
<br />BY AN OFFICER OF TOSHIBA BUSINESS SOLUTIONS.
<br />
<br />X
<br />OFFICER APPROVAL
<br />
<br />All transactions from the 25th to the 31 st of the month shall be prorated to the 15th of the following month.
<br />
|