HomeMy WebLinkAboutAgreements/Contracts - Public WorksBilling Address
Customer: GRANT COUNTY PUBLIC WORKS
Department:
Street: 124 ENTERPRISE ST SE
City: E P H RATA
K23--061
State: WA
'7
FP Mailing Solutions
Fax:
E-mail: rlmina@grantcountywa.gov
140 �'N. Mitchell Ct, Ste 200
Deliver To: 0 Dealer ❑ Customer ❑ Fulfilled from Dealer Inventory
y
r ', �Add'son, IL 60101-5629
I
1
UNL
Tel:(800) 341-6052
included
Customer Agreement
www.fp-usa.com
Master Postage Acct. No.:
Ir
CUSTOMER INFORMATION
Existing Account No.: 600011727
Billing Address
Customer: GRANT COUNTY PUBLIC WORKS
Department:
Street: 124 ENTERPRISE ST SE
City: E P H RATA
County:
State: WA
Zip: 98823
Tel: 509.754.6082
Fax:
E-mail: rlmina@grantcountywa.gov
Contact Name: Ruth Mina
Deliver To: 0 Dealer ❑ Customer ❑ Fulfilled from Dealer Inventory
❑ Existing Customers Only. check box if Billing Address has changed.
RENTAL INFORMATION
Shipping & Installation Address (if different than Billing)
Customer:
Department:
Street:
City:
County:
State:
Zip:
Tel:
Fax:
E-mail:
Contact Name:
Mailing Address: 0 Same as Billing
❑ Existing Customers Only. check box if Shipping & Install Address has changed.
Quantity
Item #
Item Description
Monthly Rate
Rental Billing Delivery (select one)
1
P500C/PINBASE25
PostBase Insight i2 IMI Meter & Base
included
b Electronic Billing
1
PCOLORBBLK
PostBase Color (Available in Black Only)
included✓❑
Paper Billing
1
UNL
Unlimited Resets
included
Rental Billing Frequency (select one)
❑ Change of Ownership
Master Postage Acct. No.:
❑ Annual Billing
Existing Account No.: 600011727
❑ Semi -Annual
❑✓ Quarterly Billing
Note: If a payment option is not selected, FP
will default to Quarterly Paper Billing.
Term of Contract: 60months*
Total Monthly Payment
$ 32,95
Terms and Conditions: By signing below, I hereby acknowledge and agree that FP's standard shipping rates and the additional terms and conditions available on the FP website at
www.fp-usa.com/terms-conditions are applicable to, and incorporated by reference into, this agreement. (If you do not have access to the internet, please contact FP directly at
800.341.6052 and we will provide you with a copy for your records.) 36 Month Initial Term will apply unless otherwise indicated above.
CUSTOMER ACCEPTANCE (nleasP nmmnlete all fiP.Hr .0
Customer Acceptance of TermsDealer
----------- -- ---------- - ---- ---- -- ----- - - --- --- ---- ----
Print Name of Authorized Representative, %� Ro b J o nes, Cha i r
Information
Selling Dealer Name: APS, I n C.
Dealer #: 225-0
Tel: (509) 754-6082Address.
Tax ID: 91-6001319 state: WA
9514 E. Montgomery, Suite 22, Spokane 99206
Tel: 509.299.6144 Fax:
Authorized Signature: X �,.
Sales Representative Name: Ron Cook
Date: 03/29/23
Servicing Dealer Name: APS, Inc.
Svc. Dealer #: 225-0
❑ New Customer
E] Lease Company:
Promo Code:
Upgrade/ Model Change
❑ Major Account:
Package Code: P12A
❑ Renewal (no change of equipment)
❑ GSA / State Contract No.:
❑ Price or Terms Exception Approval (Form Attached)
❑ Coterminous Add =on:
Master Billing Acct. No.:
❑ USPS® Location: (CPU Letter Attached)
❑ Change of Ownership
Master Postage Acct. No.:
❑ Tax -Exempt (Certificate Attached)
Existing Account No.: 600011727
FM_MG_RENTAGR_12 Page 1 revised 4131201E