Equipment Leasing Agreement

Equipment Leasing Agreement :

This letter should be typed in the official letter-head of the company.

The Company's Name

Door Number and Street's Name,
Area Name,
Postal Code : XXXXXX
Phone Number : 0000 - 123456789

TO :

The Receiver's Name,
Door Number and Street's Name,
Area Name,
Postal Code : XXXXXXX

Date :

Reference :

Dear _____________,

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

Yours Sincerely,

(The Sender's Signature)

The Sender's Name

Enc. :

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Equipment Leasing Agreement