Gordon Sprinkle

Experienced equipment operator and employee management. Offshore supervisor and employee training program. I’m very familiar with equipment operations such as grading and equipment maintenance.

• Name of Customer: ____________________________________________
• Service Address: _____________________________________________ Zip: ____________
• Phone Number: _______________________________________________
• Billing address: ______________________________________________ Zip: ___________
• Email: _______________________________________________________
• Effective Date of Rental: ______ Account #: __________________
• Toter Rental Terms:
• Price Per Year: $12.00 (Yearly price to be paid each consecutive year until Rental Toter is returned.)
• # of Toters being rented: _1_ (Customer is responsible for each Toter rented.)
• Total Rate Per Year: $12.00 (surcharge and Admin fee included) Total Due to Start Service $12.00
• Services: Customer agrees to make payments to Contractor as described herein, and Contractor agrees to furnish the rental toter(s) specified above, all in accordance with the terms of this Agreement.
• Term: The initial term of this Agreement is TWELVE (12) months commencing on the Effective Date. This Agreement shall automatically renew thereafter on a yearly basis, unless either party gives written notice of termination to the other party at least THIRTY (30) days prior to the expiration of the initial term or any subsequent renewal term. Customer contract cannot end until rental toter has been returned to CES. All cancellations will be effective at the end of year no matter what the reason for cancellation is (moving, non-payment, change in service provider, etc.) and we will retrieve the cart. We have the right charge for the replacement of our equipment and continue invoicing if there is non-payment to the account within 30 days of due invoice.
• Rate/Payments: Contractor may increase the rates hereunder to adjust for; (i) increases in the Consumer Price Index, and/or (ii) increases in disposal, fuel, materials, or other operational costs. State and local taxes, governmental franchise fees (if applicable); administrative fees, fuel surcharges and environmental fees also apply. Customer shall pay invoiced amounts within 20 days following each invoice date. Payments made after 20-day window are subject to late fees. Cancellations can only be processed upon return of cart and account balance paid in full. The charge for NSF checks will be $25.00. If the account is sent to external collections a 22% fee will be charged to the current balance.
• Equipment: Any equipment furnished hereunder by Contractor shall remain the property of Contractor, however, Customer acknowledges that it has care, custody, and control of the equipment while at Customer's location and accepts responsibility for all loss or damage to the equipment (except for normal wear and tear) and for its contents. If the cart is not able to be retrieved, you will be charged current cart replacement rate.
• THE UNDERSIGNED INDIVIDUAL SIGNING THIS AGREEMENT ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTANDS THE TERMS AND CONDITIONS OF THIS AGREEMENT.
• ONLY Authorized parties signed below allowed to make changes to the account:
• Customer Signature: ___________________ Printed Name: ___________________ Date: ____________
• 63209 Highway 434, Lacombe, LA 70445
• (P)985-781-3171
• (F)985-882-1340
• Www.ces-la.com

• CREDIT CARD / DEBIT CARD
• DATE: ____________ CUSTOMER ID: __________________________
• NAME: ________________________________________________
• CREDIT CARD NUMBER: ____________________________________
• CARD’S BILLING ZIP CODE: ________________ EXP: ____________
• SECURITY CODE (CVC): ____________
• VISA MASTERCARD AM EXPRESS DISCOVER
• CHECKING / SAVINGS
• ROUTING NUMBER: ____________________ ACCOUNT NUMBER:____________________
• PLEASE INITIAL BELOW FOR PAYMENT PROCESSING
• Please note there is a 3.5% fee for using any card (credit or debit) and a $1 fee for using ACH (routing/account information)
• 63209 Highway 434, Lacombe, LA 70445
• (P)985-781-3171
• (F)985-882-1340
• Www.ces-la.com