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 hereunder. ____________________ ___________________ Customer's Signature Chambers Corporation By:_________________ By________________Date_____ Title_______________ Title_________Branch_______