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<br />Home Improvement Agreement: Fence <br /> <br />Ir;blflf/11tl/7 -5-1all~ I I I <br /> <br />cusz;;er;s Last Name, Firsl ~ -+ C/ Order No. <br /> <br />I /31 / } S ' I <br />~Iddress f . p\ i }'"' . <br />~ 3-- ~. / \ 5--\- 1133~.)t <br />~ ~ <br />I ~m~~ony(-nl)\S I <br /> <br />Billing/Mailing Address (If different from ServiJe Address) <br /> <br />I II II I <br />~l;?'~J~i5' - 32.Cl5 Ilc"""m." '''"'"g To! N' I Ic"",m." co..,,':: N, ~ S: ldo",,","'" J <br /> <br />CUSTOMER'S INITIALS: BY INITIALING, YOU AGREEE THAT BY YOUR SIGNATURE BELOW, HOME DEPOT, ITS AFFILIATES, OR AN AUTHORIZED REPRESENTATIVE MAY CONTACT YOU <br />BY PHONE, FAX OR E-MAIL ABOUT OTHER SERVICES THAT,MAY"BE OF INTEREST TO YOU, YOU MAY ALWAYS CHANGE YOUR MIND LATER; JUST LET US KNOW, <br /> <br />IIY\ <br /> <br />State <br /> <br />Primary Payment Method: <br />Primary Account Number: <br /> <br />Home Depot CardlHome Improvement Loan 0 AMEX 0 Discover 0 MasterCard VISA <br /> <br />Expiration: I 071 i D <br /> <br />Secondary Payment Method: 0 Check/Money Order Dl:lome Depot CardIHome Improvement Loan 0 AMEX 0 Discover 0 MasterCard 0 VISA <br /> <br />Secondary Account Number: I I Expiration: I 1 I <br /> <br />Payment Schedule: You agree Your payments will become due on the dates indicated below and, if You are paying other than by check or money order, may <br />be automatically charged or debited (as applicable) to Your designated account(s) when due, <br /> <br /> <br /> <br /> <br />Down Payment: $ Due immediately , Your down payment is NOT an installment payment under this Agreement. <br />Final Payment: $ Due on finish date (see below) of installation. <br />Sales Tax: $ If applicable. <br />Total Amount of Sale: $ Includes all applicable discounts, rebates, and taxes, Excludes finance charges: <br /> <br />* Anyinterest payments or other finance charges will be determined by your separate cardholder or loan agreement, to which Home Depot is NOT a party, Please see <br />this Agreement's General Terms and Conditions for more details as to other charges that may apply. <br /> <br />Anticipated Installation Schedule Please note that neither Home Depot nor Installation Professional are responsible for delays resulting from events beyond <br />Start Date: _/----1_ their control including, but not limited to, Change Orders, incorrect information You prollide, legal encumbrances on Your <br />property or its nonconformance with building code or zoning requirements, Your credit/financing, acts of nature, government <br />Finish Date: ---1----1_ or any third parties,labor strife, hidden/unforeseen physical/hazardous conditions, including, but not limited to, epvironmental <br /> hazards such as mold, asbestos and lead paint, or Your noncompliance with this Agreement. , <br /> <br />Definitions: "You"f'Your" means the customer identified above. "Installation" means the installation services specified in this Agreement.l'lnstallation <br />Professional" or "Professional"means an independent contractor authorized by Home Depot (licensed and insured as required by Horn. Depot and <br />applicable law) and the contractor's employees, agents and subcontractors. "Agreement" means this Special Services/Home ImprovemenVAgreement <br />between You and Home Depot U.S.A., Inc. (interchangeably referred to as "Home Depot" or "EXPO Design Center"), which includes this page, the <br />General Terms and Conditions following this page, the'State Supplement, the Invoice or Specifications and any other documents expressly made <br />a part of this Agreement. Please see this Agreement's General Terms and Conditions for additional definitions. <br /> <br />Acceptance and Authorization: By signing below, You authorize Home Depot to (a) arrange for Installation Professional to perform Installation and! <br />or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified <br />in this Agreement. You understand this Agreement constitutes the entire understanding between You and Home Depot and may only be amended <br />by a Change Order signed by Home Depot (or by Installation Professional or its authorized representative on Home Depot's behalf) and You. This <br />Agreement expressly supersedes all prior written or verbal agreements or representations made by Home Depot, Installation Professional, You, or <br />anyone else. Except as set forth in this Agreement, You agree there are no oral or written representations or inducements, express or implied, in <br />.any way conditioning this Agreement, and You expressly disclaim their existence. Do not sign if blank or incomplete. (Installation Professional'sl <br />permitting information may need to be provided to You later.) By signing, You acknowledge that You have read, understand, and accept this <br />';Z,A~reementi.n its entirety. You further acknowledge receiving a complete co~y. Keep itto protec~ Your legal rights. . <br /> <br />. Accepte .13Y /. ,', ~ . /1" / '.. 4.(. h J -! ;. c ~lr & PrdessionaI'sFulElusi1essfrrade Name,Altiessand l.X;ense No. or Nos. asAppk:able: <br />'. ,..../.,.::-6 fL... JL GC,LU11, /J// I ~ () J , <br />Customer's Signature / Date <br />Custome~s Initials: BY I IALlNG, YOU AUTHORIZE OELlVERY OF MERCHANDISE <br />TO SERVICE ADDRE S PROVIDED ABOVE WITHOUT OBTAINING DELIVERY AGENT'S <br />SIGNATURE AND AG rt TO INDEMNIFY AND HOLD HOME DEPOT HARMLESS FROM ANY <br />RESULTING CLAIMS. <br />Submi.tted by:_~;;tliomeDAAot Associate <br />Cl Professio'~aUAuthorized Representative on Home Depot's Behalf <br /> <br />AssociatelRepresentative: Please PRINT Your Name in Full and Check Applicable Box Above <br /> <br /> <br />/ <br /> <br />GDX.689 (11/03) <br /> <br />DISTRIBUTION: White-Home Depot/Installation Professional Copy Yellow-Customer Copy <br />