HomeMy WebLinkAboutNeopost USA, Inc. Agreement 2019 05 29 Meter Rental Agreement
Section(A)Office Information
______�.�.�......... .....
[�011,&N
EOST S 8081 624,' 55129/ 19
0mdted 0Offic
2320 OUTH ffice Number. .. ._.__ ....... _ ....,__
Section(B)Billing Information Section(C)Installation Information
_ If different than billincg information
Company Name(Full legal name): Company
p y Name(Full legal name):
CITY OF WINTER SPRINGS------
DBA: Installation Add _.—.-. ...-
m_ Address(No PO Boxes):
Billing EAST STATE RD 434 Installation City: �IP
Code+4126 EA � y State:
Billing y Installation Contact Name: Installation Contact Title:
WINTER SPRINGS FL to 327 Bode+4:
Billing Contact Name: Billing Contact Title: Installation Contact email Address:
HOLLY QUEEN CONTROLLER
Billing email Address: Phone Number: Fax Number:
hqueen@winterspdngsfl.org
Phone Number: _ w Fax Number: Main Post Office .. .....� ....ce I Mail Drop Off: Post Office ZIP Code:
407 327 8985 407 327 4753
Section(D)Postage Meter Rental/Services Payment Information Section(E)Postage Meter and Funding
Monthly Meter Rental Payments Meter Model: Machine Model
$ 55.00 for 36 months,thereafter $ for months
IN600AF
-Payment Frequency:❑ Monthly® Quarterly ❑ Semi-Annually ❑Annually Service Products(Check all
that apply)
0 Tax Exempt (Attach Exemption Certificate)
❑ Mail me a rental invoice ® Online Postal Rates WaterTm App(SP10)
❑ Bill my NeoFunds Postage Account 0 Online Postal Expense Manager WaterTm App(SP20/NeoStats)
❑ Online E-Services iMeterTm App(SP30)
❑ Bill my credit card(Customer to submit authorization form) ❑ )
Online E-Services with Electronic Return Receipt iMeterTM App(SP35
❑ ACH Direct Debit(Customer to submit authorization form) ❑ NeoShip BASIC—Requires NeoFunds(EP70)
Postage Funding Method: ❑ NeoShip PLUS—Requires NeoFunds(EP70PLUS)
❑Bill Me 0 Prepay By Check ❑ NeoShip ADVANCED-Requires NeoFunds (NEOSHIPADV))
❑ACH Debit(customer to submit authorization form) ❑ NeoShip Install&User Guide(EP70GUIDES)
0 DMAS ❑CPU(attach authorization form) ❑ RunMyMail
Agency Code Sub Agency Code
❑ Supply—Auto Ink Order
-----....._........................................---............................................................ Maintenance
——
Postage Funding Account: 0
❑New 0 Existing Account POC Account#55844316 0 Installation&Training
Section(F)Approval
Existing custom°es"whn are upgrading or renewing an Agreement and currently fund the POC Postage account by ACH Debit will not be converted to NeoFunds unless
initialed here
This document consists of a Postage Meter Rental Agreement ("Rental Agreement"), and an Online Services and Software Agreement with Neopost USA Inc.; and a
NeoFunds/rotalFunds Account Agreement with Mailroom Finance,Inc.Your signature constitutes an offer to enter into the Rental Agreement and,if applicable,the other agreements,and
acknowledges that you have recelyed;'rospd,and agree to all applicable terms and conditions(version R-VO4-16),which are also available at htt .11p, rtal RP912ostinc.comRertns/R-VO4-
r oozedg g 9 p s' tified above
16. df and that oy rq aut?dpual
ed to si n)he agreements on behalf of the customer identified above The applicable agreements will become binding on the com anie iden
only after an
a �he equi
ipment is �Gy red to ou
Authorized Sige �4dI accept,your offer by signing below.or when Pnnt t`me and Title�� ��������� '"�" � I � ---�����^��������'������� ��� D to Acceptedt'--_.. "`„„....
p ed
Acce ted b Neo t USA _p y � d its Affiliates � Dale Accepted
Neopost USA Inc. .478 Wheelers Farms Road• Milford, CT 06461 a www,,neog�,Astusa com,
Meter Rental Form 51186e-04/16 revision R-04-16
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w�& N N �� � �� w�� ��� N��N��
���� ��| NN � � � � �� � � � ~N�� Lease Confirmation
ANeapogt USA Company Delivery and Acceptance Form
order Information
Lease# Sales Order # Customer #
Billing Information
Full Customer Name:
city�State—/Zip
Conilc t Name: Customer E-mail Address or Telephone Number:
Delivery Location (If Different from Billing Address)
InstalledProducts
\ DW60} Tm600 8mx
� �]�
1 P��� '`»w�� 1 !L/5
- 's ��00
ReDw P-1
-' -� ���/�lur
' `—''-- " '
As evidenced by this Confirmation, Delivery, and
Acceptance Form, Lessee acknowledges receipt, in
good condition and satisfactory installation of all of (Print Fu Company Name)
items described in the above referenced Lease
and certify that the Lessor has fully and satisfactorily Signature
performed each, every and all covenants and
conditions to be performed by it under the Lease
between Lessor and Lessee. By signing to the right Print Name
Lessee acknowledges and agrees that the equipment
that was delivered is what the Lessee ordered from
Neopost USA and the equipmentwas satisfactorily Title
installed. By signature tothe right Lessee accepts the
equipment and agrees tothe terms as outlined in the Delivery Date
Lease Agreement.
478 Wheelers Farms Rd I Milford, CT 106461 \ Fax: ID3'3O1'ZQ2A | Emai|:commencemy|ease@neopost.com
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