2018 FirstChoice Coffee Services - City Hall Lobby Coffee Machine Maintenancepaiahs
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NEW INSTALL ❑ ADD% LOCATION
ACCOUNT NO.
COMPANY V r d
SHIP TO ADDRESS r �5
CITY
SERVICE
AGREEMENT
(branch locations on back of this form)
ADD'L RENTAL EOUiP. K
MULTI
LOCATION 4
STATE ZIP
TELEPHONE (- __ CONTACT
DECISION MAKER
BILL TO ADDRESS
CITY
. STATE ZIP
f i v I rk Z I 5r
016 it,
TYPE OF BREWING DISPENSERS:
REG. DECAF
MOVING CHG.
PREVIOUS SERVICE
9�
FLAVORED
INSTALLATION CHG. 111.
DATE ORDERED I
INSTALL DATE
RE-SIGN DATE
COFFEE BLEND fell A PRICE
COFFEE BLEND 0@1RmL,_W5 PRICE
COFFEE BLEND t^ �Dt[L4LR�CE� / r 97
CUSTOMER'S MINIMUM MONTHLY C FFEE
CASE USAGE FL REG. DECAF
INSTALLATION CHA E WAIVED AT IME O INSTALLATION C YES Ell NO • •
INSTALLED BY ^� t W DATE ❑OPEN ACCT., N10 ❑COD
TERMS & CONDITIONS OF THE BEVERAGE SERVICE AGREEMENT
1. The lerm of ft Agreerrrml s for a period of 60 monfhs b will be &Manny renewed Ier recurring 12 month penods unless uzncemed by either parry with 90 days wri en notice prior to the end of the current term.
2. This Veement may nor he carxeilsd by Comparry wltioul cage prior to tie expiraAon of the n" term. In the cures Dante Fast Choice OA* Serves W5 to peovm as set Inrtt xi this Agr t. Conynany star r
Dac s Fast Choice Coffee SeNcias Nith vmlten -0ce. speolyrhg tie rye and 940u of the deficisnom at demanding cure. If such deFcienq Its rip c_red vrtlsn 1(301 ays fobwq ale date a arch notm. 7w
=Vac ! mW'amrm ft Agm~ for dalarit by crsly ,30i days ,vMer notice at Me end Y st,c ase period If c,.I wed es the AgeFfrre . C smn r µ. aF. pay 0=,, F,-s! Chou Conroe Sernnc-_ a'_
3IOai ed by Damns Fist Ox a Conic Servers muwV Its vmVazd css 0 rrV ors used eq, p art the sale of products dung the remaining period of this 4geerrerS used on ors Ivfnirrxm Nlontdy product
usage set forth above. Customer agrees that Mould Dabhs First Choice Coffee Services be required to incur costs and emerses, including atorney's fees in enforcing this Agreement, that Dabhs First Chow Coffee Services
sham be err to recover said costs and axpensas. Including reasc nabie Morneys leas from Customer.
3. Dade Fast Chace. CdW Servxas Wv retain title to all equipment during the term of this Agreement. At no time will any of said equipment be dscom-w ed, vb6xim, or moved in any maim, by any service or person except i
aWncinmd Dalohs Fasl Choice persorrtel.
4. Imocas w O be pad In tilt vraM 10 days d the moot of Invoice. Al urpdhd :rvom ower 30 nays are. subio to 15% Interest per month or 18% per annum
5. M prddurt used nth the eq iptserif must be purd°•aed Irem Dorms First Choice Cotea Seri ices
1 6. Am ptumbirg ehdierexis;rrg er irstetlad by DOI First Chace Co%e Services will he hue amli� of To customer 30 days Oer nsan We above
7. The price br Qeee as spected on has agreement shall nol be Incased during d1e n al !errs re W- exCepl to me extent cf an autvai d ea price Increase to Dade First Chace Coffee Services as received from Bs coffee
8. If iretallation charges are waived by Debts Fist Choice Coffee Services at time of installation and customer ter� this agfeemert at any time prior to cunent expiration dale, with or witaut cause, tneI charges .
as stated above hereof are due and payable immediately.
9. Corrnpany ved masUn the eq.;Vnery In good and sanitary ca xftn If the equipment is damaged, dest" or 10 by fire, theft or any other cause, Company sham pay Daiohs Fast Chace Coffee Services the find replacement
cost of ft equipment.
10. In the event Customer sags, Vanslers or assgns arty interest in customer, this Agreemenn; sham insure to the benefit of and be binding upon its la%l w, assignee or sucomxFr, W erw 1. Daiohs First Choice may assign sent or
transfer its irrlerest in this Agreement witaut the consent of customer. _ ,
SALES REPRESENTATIVE
ACCEPTED ON BEHALF OF D,
I Hereby represent that I am authorized to enter into this
agreement art behalf of customer. tall t��5;�'
of this agreement. AUTHORIZED
IuIa1LI►_111II
FlFi57 L iO9 COFFEE SERVICES'
II PRINT NAME ys� ✓� ���L j
TITLE �%rE� DATE ���