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<br /> 30 <br />XEROX Xerox Order Agreement <br />Custo",er agrees to the following transactlon(s) and the Incorporation of the Xerox standard terms and conditions relating thereto for the acquisition of Xerox Equipment, <br />Supplies and/or Service described below and in the attachments hereto: 0 Maintenance Only <br />0 Equipment Services 0 Installment Purchase of Equipment: 0 With Maintenance 0 Software license <br />0 Equipment Purchase: 0 With Maintenance 0 Financed Equipment Configuration Change ' r¡;;¡~I!,~m lease <br />Bill To Installed At <br />Customer Name Customer Name <br />Parent Co. Name Overflow <br />(It different) <br />Box #/Routing Floor, Room, <br /> Routing <br />Sfreet Address Street Address <br />City City State Zip <br /> General Order Information: Purchased or Prepaid Software License Installment Purchase <br />ru,. Less Deductions B. Total Net <br /> Opt. to Purch. Trade-In Other Net Price Price <br /> C. Cash Down <br /> Payment <br /> D. Cash Pnce <br /> (Principal <br /> Balance <br /> [B - C]) <br /> E Finance <br /> Charge <br /> or Interest <br /> at % <br /> F.Time Balance <br /> Xerox (D + E) <br /> Xerox G. Time Sale <br /> Price (C + F) <br /> Xerox <br /> - Monthly Installments of <br /> Xerox <br /> A. From Attached $ <br /> 2. Order Agreements {Total Net Pnce (Exclusive of <br /> B. T ~\ Sales/Use Tax, Placement. <br />3. 4. Maintenance and Supply Charges) <br /> Complete "fIliis Section For Term Lease: <br />Existing Equipment to be Replaced (list Serial Numbers) Initial Supply Order Oty. Reorder Number Term of Agreement (Check One Plan) <br /> 024 Month 048 Month 0 Other <br /> 036 Month ,~O Month <br /> Purchase Option Amount $ <br />Tax Exempt 0 No þI~¥es (Attach Exemption Certificate) Purchase Option Amount <br />Customer Requires Purchase Order Numbe~jiI~o 0 Yes From Attached Agreement(s) $ <br /> Copy Allowance Penod <br /> ,,' Prepacked supplies will be shipped with selected '!Ji! I;Monthly <br />Customer Purchase Order Number Equipment and billed to the customer at the pre- <br /> Purchase Order packed pnce In effect at the time of installation 0 Semi Annual <br /> References are Prepacked supplies will be removed, free of 0 Annual <br /> uipment for Billing charge, and with full credit If requested <br /> Purposes Only. by Customer <br /> iintenance Customer Requests Full Credit <br />Earliest Customer Acceptanée Date Supply PO# From Attached Order Agreement(s) ~ <br /> Total Monlhly Minimum Lease Payment ~ <br />Master Purchase Agreement # Xerox Supply Cont.# (Exclusive at Sales/Use Tax and Placement Chgs) <br />Complete This Section For Equipment Services Or Maintenance Or Monthly Software License: <br />Price Plan Description Initial Term Billing Cycle Contract Number <br />GOY'I. Firm COntract Option 0 GOY'I. Fiscal Year Option 0 GOY'I. Fiscal Year Begins / / K-12 Summer Option <br />Equipmen' may bene..,ly manu'actured, remanufactured or previously instlliledas described in 'the Xerox Price List or may be tn-Place. Customer mus' Initial to acknowledge <br />receip' of the Xerox Price List. Terms and Condi'ions and other documents designated below: <br /> Initials Initials Initials <br />Xerox Price List # dated - E. Term Lease Terms and Conditions dated _Other: <br />Xerox Maint. Pnce List - dated - <br />Gov't. ContracliPrice List Malnt. Terms and Agreements dated - <br /> - - <br />B. Equipment Services Terms and ConditIOns dated - - I. Software License Terms and Conditions dated <br />C. Equipment Purchase Terms and Conditions dated- - J. Extended Service (Warranty) Amendment dated <br />Installment Purchase Terms and ConditIOns dated- - K. Negotiated Contract <br /> Xerox Corporation ~~rt~";~:;;,~~Pë~~ro";:;'ro~o 95 <br /> - - - - - -- <br /> Accepted for Xerox <br /> Date <br /> Ext.- Site DNa Order Agreement - of - <br /> (5/85) <br />