HomeMy WebLinkAboutAgr 2016-01-16 (MailFinance) MaUinance Product Lease Agreement
A Neopost USA Company with Meter Rental Agreement
Section(A)Dealer Information
Office Number Office Name one# Date
5883000 International Mailing Equipment 9164481000 01/25/2016
Section(B)Billing Information Section(C)Installation Information (if different from billing information)
Comp�NameTownof Tiburon Company Name Town of Tiburon
DBA DBA ---
Billing Address 1505 Tiburon Blvd Installation Address 1505 Tiburon Blvd
City State Zip+4 Tiburon CA 94920 City State Zip+4 Tiburon CA 94920
Contact Name Patti Pickett Phone (415)435-7373 Contact Name Patti Pickett Phone (415)435-7373
Contact Title Office Assistant Fax (415)435-2438 Contact Title Office Assistant Fax (415)435-2438
Email Address ppickett@townoftiburon.org PO# Email Address ppickett@townoftiburon.org
Section(D)Products
Qty Model I Part Number Description(include Serial Number,if applicable)
1 IH600AFWP5 IN Series 600 Base w/Autofeeder,Sealer,Catch Tray,Ink Cartridge,LAN Cable&IHWP5
Section(E)Lease Payment Information&Schedule Section(G)Postage Meter&Postage Funding Information
Tax Status: Number of Monthly Payment Main Post Office Name Post Office 5-Digit Zip Code
Months (Plus applicable taxes)
Taxable --- -- —
❑Tax Exempt First I 63 $148.46 Postage Funding Method: Postage Funding Account:
Certificate attached ❑Bill Me ❑OMAS/CPU ❑POC W TMS
Billing Frequency: ❑Prepay by Check OMAS Agency Code ❑New ❑Existing
❑Monthly ❑ACH Debit Existing Account Number:
Quarterly
Attach ACH Attach USPS CPU
❑Annually Authorization Form Authorization Letter
Billing Method:
0 Current Lease Number Section(H)Services
Standard
Rate Protection O Online Postal Rates Covered Product: IH600AFWP5
F-]Government Payment New Lease Number ❑
Government
Arrears None
Subscription ❑ NeoShip
Section(F) ACH Direct Debit for Lease Payments (Attach Voided Check) iMeter Apps ❑Online Postal Expense Management
Bank Name
--- ❑Online E-Services
Bank Contact Name
-- - - ❑Online E-Services with Electronic Return Receipt
Bank Contact Phone
Bank City State Software ❑Software Advantage Covered Product:
Number
Bank Routing Number Bank Account - l Services 0 Installation/Training Maintenance
Section(1)Approval
Existing customers who currently fund the Postage account by ACH Debit will not be converted to NeoFunds/Total Funds unless initialed here
This document consists of a Product Lease("Lease')with MailFinance Inc.;and a Postage Meter Rental Agreement('Rental Agreement'),and an Online Services and
Software Agreement with Neopost USA Inc.;and a NeoFUndslTotalFunds Account Agreement with Mailroom Finance,Inc.Your signature constitutes an offer to enter into the
Lease and,if applicable,the other agreements,and acknowledges that you have received,read,and agree to all applicable terms and conditions(version DealerLease-06-
13),which are also available at http://www.neopostusa.com/terms/DealerLease-06-13.pdf,and that you are authorized to sign the agreements on behalf of the customer
identified above.The applicable agreements will become binding on the companies identified above only after an authorized individual accepts your offer by signing below,or
when the equipment is shipped to you. v
M
c-4 v�r�
Authorized Signature I int Name and Title Dae Accepted
Accepted by Neopost USA and its Affiliates Date Accepted
MailFinance,478 Wheelers Farms Rd,Milford CT 06461 Form L51186e-07/13 Terms Revision R-06-13(PF)
I 1
Product Lease Agreement
MailAnancewith Maier Rental Agreement
A Neoposr OACompany
Seofion A)Dealer Information
Gff1Co Number
Office Name Phone E11111"inteenationaiMst€EngEqurpmsnt sf6aa talo
Section(9)Billing Intonation (if dlNarent front billing! rrs8on)
company Name Town of T(buran Company foams Town of T°ibumn
DBA
L11A
Bilt€ngAddress ISli8Tiburon Blvd 11606TIburcmBlvd
Illy Stale Z pa14 Tibtrran CA 94524 Dftry State Zip 4 Tiburon CA k4S2b
1
Contact Name Patti Pickett Plione �(4�06)436�]243R
Gonmct Name Patti Pickett Phone (435)435.7573
Contest Titfe office Assistant
Fax Co tfaet7tits OfflCe Arts€stent rax� (4116)435-2436--
Emstl Addross ppickett@townaffiburon.org PO# Email Address ppiokett s tortno titsuran,arg
Section(fa)Products
��Niodel f Part Numbar Due ription(include Serial P4umber,if applicabl9)
L iH600At"WP5 1 IN erl s 6041 Base wtAutofeeder;Seater,Catch Tray,Ink Cartridge,LAN Cable&IHWPS
Soetion(C)Postage Meter 8 Postage Funding information
"action(E)Lease Payment Information 6,Schedule 9
Number of u M Monthly Payment Main Pas;Office Name Post Office b-Digit Iiia Code
Tax Status: Months (Flus appRoWe taxes)Tayable
`
Ta ExemptFirst o3 � 149.96 postage f=unding Method: Postage Funding Account;
El GQrt fca tr?eftgohad OPRAS!CPU P,rJG TMS
EEi fAs
OMAS Agency Gads 9
Billing Frequency: P spay by Check "y Existing
,few st n
Cl Monthly [�ACE;Habit Ex et ng A count Number.
Q Qoarterly ArfaOTACH Affach USPS GPU
Authorization Fart» Authorfxatfan Lettar
Annually
Boling klltthod: avetlort(H)Services
Standard Current Leese Number
rde(e Ffafecdun z Online Postal Rates Covered Product if=: OPAPAIP6
Paovasr sent Payment New t aaaa i�uln5at Cl None
€n Arrears
Subscription 13 Neobhiia
lasctioft(F)ACH t)hact Debit for Lease Payments (Atteeh Voidad Check). Wier Apps [�Online Postal Expanse Management
Bank N"e ®Online E-Services
EBank CanfaO Name _ __ ]Online E•Servires with Eleotranfc Return Receipt
Bank Contact Phone _ �__
Sank City Stale mm Software [�Softwazd Advantage Caur roc€F reduce T
Bank Routing 14 ,,bee Bunk AacountNumt er
Services tnMxa€iatlonlTrninin0 Maintenance
.�_
Section(1)Approval _
€ [7his
sE og custornere who eurrengy fund the postage account by ACH Debit alit not be convened to NeoFundslrotalFunds units-,in tialad Dere
stage sacs-ent consists of a product Lease{end NeeFunYdstfota rundsRoaa t Ageement�with Me roam Finance,Inc.Y ugrruign tura coo t€tu es an offer to enter into the
ftwareAgreantent with Neopost€JSA in „ase and,of appiicabl ti,the other agsoemc nis,and acknavrtedgea thatyou have reoelvod,read,anti agree to all appiicable terms and cond€Lans(varaion,Which aria also available at http:fP�t'rN.neopastvaa.aomJtstmsti5aalarLrasa-66 3.Pdf,and that you are authorized to sign the agrecritenGs on behalf of the oustomer
identified above.The aPpt cOble Egme=nts will become binding on the companies Identified above only aeor an auth6rixed individual accepts your r:`far by signing belcrr,or
when the equipment is shipped to yop. r r
t �[. 1� +1rrt i
ps e;t epte`d
Aur ized S gesture nt hie r o sod rule /f
f4 �
k= Date Accepted
Ao opted by N.post USA irid€ts Atfiliat as
Ma11Flnapce,479 Wb111 e€s Farms Rd,Mit9ord OT 06461
® Form 1-51186"711$Tema revision R-06.16(PF)
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