Preferred Rental Agreement

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					                              Hercules Plus CDMA Rental Agreement, Canada, 1 of 2
                                 Phone: 800-561-8880, Fax: 506-847-2348, eMail: shipping@dplcore.com
                                     53 Clark Road, Rothesay, New Brunswick, Canada, E2E 2K9

                            Please note that this form may be easily filled out on your PC, printed, signed off
                               and faxed to the number indicated. Otherwise, PLEASE PRINT CLEARLY.


   Company Name

   Billing Address

   City                                     Province                                  Postal Code

   First Name                               Last Name                                 Title

   Phone                                    Mobile

   Fax                                      eMail




   Ship To Address (if different than above)

   First Name                               Last Name                                 Title

   Phone                                    Mobile

   Fax                                      eMail



              Item                      Rental / Month      Purchase      Quantity             Extended Totals
    Hercules Plus Basic Service              $30.80            n/a                               $0.00
   Hercules Plus Extended Service            $38.50            n/a                               $0.00
           Signal Booster                      n/a           $300.00                             $0.00
          Alarm Module                         n/a           $100.00                             $0.00
         AC Disconnect                         n/a           $100.00                             $0.00
     Signal Strength Module                    n/a           $35.00                              $0.00
     20' Antenna Extension                     n/a           $25.00                              $0.00
     40' Antenna Extension                     n/a           $30.00                              $0.00
      9" High Gain Antenna                     n/a           $15.00                              $0.00
     Standard OEM Antenna                      n/a           $15.00                              $0.00
                                                                         Total Less Tax   =      $0.00
                                      Plus Shipping and Tax of 5%
                 Please Note: BC Tax 12%, NB Tax 13%, NL Tax 13%, NS Tax 15%, ON Tax 13%

By signing below customer confirms that GPRS was offered to them as a first option; and customer is
specifically choosing CDMA network.

Agreed Upon by:
Name:                                                                   Title:

Signature:                                                              Date:
                                 Hercules Plus CDMA Rental Agreement, Canada, 2 of 2

                                     Phone: 800-561-8880, Fax: 506-847-2348, eMail: shipping@dplcore.com
                                         53 Clark Road, Rothesay, New Brunswick, Canada, E2E 2K9

                               Please note that this form may be easily filled out on your PC, printed, signed off
                                  and faxed to the number indicated. Otherwise, PLEASE PRINT CLEARLY.

           Purchase Order Number


           Credit Card Number                                                           Expiration Date


                                                                                          Visa               Mastercard
           Cardholder Name
                                                                                          American Express




                    Check to indicate you want your Monthly Service Fee charged to your Credit Card each month.
                    Invoices overdue for thirty (30) days or more may cause messaging service to be deactivated.


Please note: we have recently had to implement a $20.00 processing fee to handle Credit Card payments
that were declined. In the future this fee will be added if funds are not available on or about the 15th for
your current messaging billing.


                                              Select Your Service Provider

       Calypso             CashNGo            DirectCash              On-Line              Open Solution                      TNS




The monthly Rental Fee entitles the user to 2000 transactions per month. A transaction whether approved
 or refused counts as a transaction. Overages on the 2000 transaction count will be charged at the rate of
.03 per transaction.


                 Customer Preferred Courier                                   Customer Shipping Account Number

                                                                   Unless specified, default shipping is by Ground


       Use Customer Shipping Account Number           DPL to Prepay and Add            Ship Ground                 Ship Air




Warranty:
Warranty is good for as long as the Rental Agreement is in good standing excluding loss and physical damage.
The DPL Group is not liable for the loss of ATM Machines, cash or business transactions. The DPL Group's liability
is limited to replacing a defective unit provided an RMA number is obtained first.

Please Note:
Rental units are not transferrable. Should a Rental unit no longer be required, monthly billing charges will
continue until the unit in question has been received and inspected by The DPL Group.

				
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Description: Preferred Rental Agreement document sample