FREE Equipment Leasing Agreement

By | November 11, 2011

Equipment Leasing Agreement

Chambers agrees to furnish and Customer agrees to hire the
services of ______________________________________________
______________("Equipment"), to be installed at the
address [s] indicated below, subject solely to the terms
and conditions of the existing Chambers Contract Pricing
Agreement between________________________________________
and Chambers Corporation.

Monthly      Annual     Two Year    Contract No:

Customer and Billing Address      Installation Address

___________________________      ________________________

____________________________      ________________________

____________________________      ________________________

____________________________      ________________________

Customer acknowledges the responsibilities of providing
suitable electrical service and the payment of charges for
the placement, removal, and any rigging expense for the
equipment and accessories ordered herein.

Earliest Customer Acceptance Date_____________

Equipment Purchase Order Required    Yes, if yes complete below:

Equipment Purchase Order No:_____________From_______To_________

CCP Special Reference Number_______________________

Customer Authorizes Initial Supplies:     Yes:          No

Supply Purchase Order No:__________Supply Agreement No:________

Supply Purchase Order:   Not necessary    Attached    To Follow

Acceptance of this agreement is contingent upon review and
approval of Chambers Corporation's Credit Department.

This Agreement shall terminate in the event that Customer
makes an assignment for the benefit of creditors, or a
voluntary or involuntary petition is filed by or against
the Customer under any law having for its purpose the
adjudication of Customer as bankrupt or the reorganization
of Customer or may be cancelled by Chambers without notice
should Customer default in the payment of any money due

____________________            ___________________
Customer's Signature            Chambers Corporation

By:_________________            By________________Date_____

Title_______________            Title_________Branch_______