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<br />r---- <br /> <br />TO.SHIBA <br />BUSINESS SOLUTIONS <br />Florida <br /> <br /> <br />M~NTENANCEAGREEMENT <br />SALES. REP<~~E <br /> <br />~ 37695 <br /> <br />SALES REP NO. <br /> <br /> <br />ORDER STAGE NO. <br /> <br />I _I <br /> <br />~~:'.r' <br /> <br />~ <br /> <br />/ i <br /> <br /> <br />NATUR~~ BU}'fN~~S <br />ACCOUNT NO. i <br /> <br />ACCOUNT <br /> <br />o NEW <br /> <br />"OEXfSTING <br /> <br /> <br />ACCOUNT NO. <br /> <br />"< <br /> <br />.:i '( <br /> <br />. . <br />~__,_.;. ,., ,0"'\. . <br /> <br />C< <br />~~..t';, /;, <br /> <br />,<" .{.> <br /> <br />/ ,/ <br /> <br />COUNTY <br /> <br />FAX <br /> <br />STATE <br /> <br />ZIP+4 <br /> <br />2 <br /> <br />3 <br /> <br />"'~-/ <br />.,; <br /> <br />4 <br /> <br />5 <br /> <br />I <br /> <br />..,},.....~: <br /> <br />.;. 'i. ;... . 'Ii <br /> <br />6 <br /> <br />7 <br /> <br />1 <br />~ <br /> <br />8 (I_t..._. i(J/~() <br /> <br />." <br />.I".S <br /> <br />',( <br /> <br />"1.......: ~ <br />// <br />" fJ/ / .' -"'! . <br /> <br />.-;.,,-- <br /> <br />'~r . <br /> <br />~.- <br /> <br />c.A,'or,i'-o- <br /> <br />10 <br /> <br /> <br />.I <br /> <br />f~' , ; ~_. <br /> <br />.,,+ <br />,'/ <br /> <br /> <br />:' _,,) t~._ <br /> <br />9 <br /> <br />,. <br /> <br />,~ c,,~ <br /> <br />11 <br /> <br />DIGITAL INSTALL <br /> <br />SUPPORT PLUS 0 1 <br />SUPPORT PLUS 0 2 <br /> <br />UP TO TWO (2) HOURS <br />UP TO FOUR (4) HOURS <br /> <br />SEGMENT 1.5 Black &' White & Fax $250.00 <br />COLOR $480.00 <br /> <br />CUSTOMER P.O. NO. <br /> <br />MAINTENANCE AGREEMENT COPIER & FAX PLAN TYPES <br /> <br />External Fiery/controller parts and labor only <br /> <br />Equipment Line No. <br />is covered by plan: <br />at a Base Rate of: <br />to billed (interval): <br />and includes allowable copies of: <br />Excess copies will be billed <br />at a per copy price of: <br /> <br />t2. -~ - <br />/9 <br />$ <br /> <br />$ <br /> <br />"A <br /> <br />Covers parts, labor, drums, PM kits and toner <br />(excludes paper, staples, cel.r \>.'M_, oli1iwii.llller units & shipping) <br /> <br />Excluded, not covered under any service program <br /> <br /> <br />Covers parts, labor, PM kits, drums only (excludes paper, toner, staples & shipping) <br /> <br /> B <br /> C <br /> 0 <br /> E <br /> F <br />,"'!"". <br />,'.f$ G <br />;../ <br /> <br />Covers parts and labor only (exludes drums, paper, toner, PM kits. staples & shipping) <br /> <br />Covers parts, labor, drums, PM kits and color toner (excludes paper, staples & shipping) <br /> <br />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 />~p <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 />x DCM)\6. ~~()-ri, M~ <br /> <br />PRINTED CUSTOMER SIGNATURE \J <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 />