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<br />AMSEM-1, Inc. <br />ADVANCED MOBILEHOME SYSTEMS <br />13764 W. Rena Drive · Largo, FL 33771 <br /> <br />OWNER: Mr. ~ \--<.. "Mrs. <br />Address: 6~Vb lIP 8~ty: <br />~ <br /> <br />I &D 9/(1, <br />INSTAllATION AGREEMENT <br />CRC 1326592 <br />1-800-282-3572 <br /> <br />CaNT. NO. \.."':S; 0\ <;I. 04 TfJ 0 ( <br />SOURCE PRODUCT <br />Phone # (gl.3 ) 1/6- 17 <br /> <br />~ NAME ~t.( "-- ~ <br />;;Z.er~t<ffi Z1p33~... _Park. IV~ <br /> <br />/' Rent _ Land-Own / Rent _ RIP # <br /> <br />County <br />Address <br />(out of Florida): City State _ Zip <br /> <br />o AMSEM-1, INC. ("AMS") proposes to furnish all materials and labor for the job(s) specified below: <br /> <br />Home-Own <br /> <br />Phone#( _ ) <br />(Out of Florida) <br />,jar rJl!~<LIi? <br /> <br /> <br /> <br />1f~ <br />~ <br /> <br />(U~ <br /> <br />o CUSTOMER AGREES TO PROVIDE A NEW ROOF GAS VENT, PRIOR TO ROOF INSTALLATION. UPON COMPLETION HAVE SYSTEM <br />STARTED BY LICENSED GAS CONTRACTOR AT CUSTOMER EXPENSE. INIT. INIT. <br /> <br />o ELIMINATE GAS VENT _ _ OGAS BURNING UNIT HAS OR WILL BEEN REMOVED BY CUSTOMER _ _ <br />INIT. INIT. IN IT. INIT. <br />o SEE ADDITIONAL SHEETSFOR ADDITIONAL SPECIFICATIONS INCORPORATED INTO THIS AGREEMENT <br /> <br />AMS REQUIRES A 30% NON-REFUNDABLE DEPOSIT, WITH THIS AGREEMENT AND BALANCE DUE ON COMPLETION ,.::J <br /> <br />CONTRACT AMOUNT $ (U.S. DOLLARS $) $ SS rD . <br /> <br />IiiIl I YlSA I _ . Sales Tax $ <br /> <br />~.J,5;;2-:57b7 /9330117 Mo.0yR.o9 CHK# TOTAL $ ~~~ ~ <br />~ . ~DATE CASH DeposltAmount$ rd <br />C...CHOUlERS'....T\J.. ~S7ZJ 7 if (oe. Balance Due on Completion $ 3 8 rv <br /> <br />A separate written warranty relating to the Weather-Lok™ Roof system will be mailed when contract price is paid in full and a completed application <br />for warranty is received, A copy of the form of this warranty is available upon request. <br />AMS is authorized to furnish all materials and labor required to complete the work described in the above proposal, for which I/We agree to pay the <br />full amount specified in said proposal, and in accordance with all terms of this Agreement. <br />THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE <br />COpy OFTHIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND <br />AGREES TO BE BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE. <br />This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the AMS's commencing performance, <br />Upon such acceptance or commencement of performance, this Agreement shall constitute the entire contract and be binding upon the parties hereto, <br />there being no covenants, promises, warranties or agreement, written or oral, express or implied, except as herein set forth or as created by applicable <br />law. <br /> <br />BUYERS RIGHT TO CANCEL <br /> <br />THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY <br />PROVIDING WRllTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIl. THIS NOTICE MUST INDICATE THAT YOU DO NOT <br />WANT THE GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER <br />YOU SIGN THIS AGREEMENT. IFYOU CANCEL THIS AGREEMENT, THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT. <br /> <br />-n<~O BUYER: THE TERMS AND CONDITIONS ON THE BACK HEREOF ARE PART OF-THIS AGREEMENT. <br />(INI,~ X EVERYTHING PROMISED AS PART OFTHIS CONTR ~ERED THE ABOVE. <br /> <br />ACCEPTED AND AGREED: BY AMS REP. <br />~1 . <br />~() ~,'~ o~ SOCIAL SECURITY # Date Of- <br /> <br /> <br />X <br />(BUYER'S SIGNATURE) <br /> <br />SOCIAL SECURITY # <br /> <br />Date__ 20__________ <br /> <br />l ~'... <br />