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_______

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