Choco Fountain Inc.

 Rental Shipping Agreement

24 Hour Phone Service - 877-882-4050                Fax 308-382-7324

SHIPPING INFORMATION                                  Today’s Date______________________

Rental Date: ________________________     Return Pickup Date: _________________________

Event Start Time: _____________________    Event Finish Time: __________________________

Address To Ship & Pickup Fountain From

Customer’s Name________________________________________________________________

Address________________________________________________________________________

City_______________________________________ State____________ Zip ________________

Phone______________________ Cell______________________ Fax______________________

Phone______________________ Cell______________________ Fax______________________

Name of Person Returning Fountain(s) if not same as the Customer ________________________

BILLING INFORMATION

Type of Payment:    Cash____ Check____ Credit Card____ Debit Card____ Credit Certificate____ 

Visa___ MasterCard___ Discover___ American Express___

Credit Card #_____________________________________________________ Exp___________

Name__________________________________________________________________________

Address________________________________________________________________________

City_______________________________________ State____________ Zip ________________

CHARGES

People Served               0-100                      100-250                       250+

Size of Fountain:  Small______ Medium _____ Large______ x ______ Days      = $____________

Chocolate .   .  Dark  .   .   .   .   .  Milk  .   .   .   .   . White .   .    .     .  _______lbs. = $____________

Shipping Charges:  Ground ____  3 Day_____ 2^nd Day_____  Next Day_____   = $____________

Misc. Items _____________________________________________________   = $____________

Tax (If applicable).   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   = $____ _______

TOTAL CHARGES   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   =$___________

Prepayment (Refundable only as future credit).   .   .   .   .   .   .   .   .   .   .   .   .   .  = $____________

BALANCE DUE (Prior to shipping) .   .   .   .   .   .   .   .   .   .   .   .   .   .   .   . = $____________

TERMS & CONDITIONS

I. OWNERSHIP

Customer agrees and acknowledges that at all times the title and ownership of all rented chocolate fountains remain in Choco Fountain Inc.

II. RENTAL PERIOD

Choco Fountain Inc. hereby rents to the Customer the chocolate fountain(s) indicated on page 1.  of this Agreement.  The rental period is for the day(s) specified on page 1.  Customer agrees to have the same equipment ready to ship and made available to be picked up on the return date specified on page 1.  Failure to have said equipment ready to ship and/or available for pickup on scheduled return date will result in an additional $200 (two hundred dollars) per day rental charge for each rented fountain commencing on the first day that the shipping company attempted to pick up the fountain(s).  If this happens, any additional fees will be charged to the credit card that you have provided.

III. EQUIPMENT CONDITION

Choco Fountain inspects and tests every fountain for cleanliness and operation before shipping.  In the event that any fountain should malfunction or become unserviceable during the rental period, call Choco Fountain Inc.’s 24 hour toll free line, 877-882-4050 immediately!  Problems must be reported BEFORE the event to qualify for any credit.  Choco Fountain Inc. shall be the sole arbitrator as to whether the malfunction resulted from normal wear and tear, or from misuse or other factors under the control of the Customer.

The Customer is responsible to properly clean the fountain(s) before returning.  A $50 cleaning fee will be added for each fountain that has not been properly cleaned before returning.  If these fees are incurred, they will be charged to the credit card that you have provided. 

In the event that any rented fountain(s) is (are) damaged, lost or stolen while in actual or constructive possession of the Customer, the Customer shall immediately pay to Choco Fountain Inc. the replacement value or cost of repairs of such fountain as set forth herein, plus applicable sales or use tax.  The replacement value of each fountain shall be the current retail price. If any fees are incurred, they will be charged to the credit card that you have provided.

IV. PAYMENT

The Customer agrees to put a credit card on file or complete a Choco Fountain Inc. credit application for prepayment.  The Customer shall compensate Choco Fountain Inc. a $250 (two hundred fifty dollars) prepayment for each fountain that the Customer wants to reserve.  The balance due will be charged to the Customer’s credit card 14 days prior to the day that the fountain is shipped.

V. CUSTOMER CANCELLATION & REFUND POLICY

Cancellation of Agreement by Customer must be done 30 days prior to first day of the scheduled rental date.  The prepayment refund will be in the form of a Choco Fountain Inc. Credit Voucher to be used on the next fountain rental.  Choco Fountain Inc. will not allow any refunds on cancellations less than 30 days prior to first day of scheduled rental date.

TERMS AND CONDITIONS (CONTINUED)

VI. CUSTOMER’S LIABILITY

The Customer agrees to assume responsibility and liability for the safekeeping while in possession of all fountains rented under terms of this Agreement, from the time the fountain(s) is (are) received from the shipper until the time it (they) is (are) picked up.  The Customer acknowledges that all rented fountains are used at Customer’s sole risk and Customer will hold harmless and indemnify Choco Fountain Inc. against any and all claims or liability arising out of the use of the fountain(s).  The Customer has adequate property insurance to fully protect Choco Fountain Inc. against loss, theft, or damage arising in connection with the use of fountain(s) rented under this Agreement.

VII. CUSTOMER DEFAULT

If the Customer shall default on any terms, covenants and conditions herein, or fail to punctually make any of the payments hereunder, then and in that event, Choco Fountain Inc. shall have the option of declaring this Agreement terminated, and may, without notice or demand, by process of law or otherwise retake possession of rented fountains.  Nothing contained herein shall be construed to bar or prevent Choco Fountain Inc., in the event of monies being due it for rental, repair, replacement, or other costs, from suing and recovering the monies due it and from repossessing rented fountains at the expense of the Customer.  Either or all of the foregoing remedies or expressly permitted, consented to and authorized by the Customer.

VIII. ACCEPTANCE OF FOUNTAIN BY CHOCO FOUNTAIN INC.

The acceptance of the return of the rented fountain(s) shall not constitute a waiver by Choco Fountain Inc. of any claims that it may have against the Customer, nor waiver of claims for damage to a rented fountain(s). This Agreement contains the entire Agreement and understanding between the parties hereto, including warranties, representations, if any, and may not be amended or modified except in writing, signed by both parties.

IX. CHOCO FOUNTAIN SHALL NOT BE LIABLE

This Agreement and the contents hereof represents the only warranties, express or implied, between parties, including any implied warranty or merchantability or fitness for the particular purpose and for any other obligation or liability on the part of Choco Fountain Inc.  Choco Fountain Inc. shall not be liable for any injury, loss or damage directly or consequently arising out of the use or inability to use the rented fountain(s), whether used singularly or in conjunction with any other equipment.  The Customer will indemnify Choco Fountain Inc. against, and hold Choco Fountain Inc. harmless from all claims, actions, proceedings, costs, damages, and liabilities, including attorney fees, arising out of, connected with, or resulting from the rental or use of the fountain(s).

IN WITNESS WHEREOF, This Agreement has been executed and delivered by the Customer and the Customer agrees upon acceptance by the valid execution hereof by Choco Fountain Inc. this Agreement shall be deemed to have been made in, and governed by the laws of, the State of Nebraska.

_____________________________________       ______________________________________

CUSTOMER SIGNATURE                                       CHOCO FOUNTAIN INC.

Name:________________________________      Name: __Dana “Gene” Rosenburg__________

Title:_________________________________      Title _____Vice-President__________________

Date:_________________________________      Date:__________________________________

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