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O�� 5 H I� � D , l.lC 2040 Weaver Park Drive - Clearwater, FL 33765
<br /> Hur�icane Shutter 1Vlanu.fa,cturer Corporate 727-451-ROLL (7655) - Fax 727-467-0910
<br /> License#CGC-1513024 AG R E E M E N T Agreement # 18 9 4
<br /> Representative /uj�� ��(,K,/ Date 6�p/ �2D`/ Page 1 of /
<br /> Estimated Time of Installation � 3—� weeks Referred by
<br /> Customer Name ,Q���% l.,��C'aL/ Home Phone $/3—�Q "/39'�
<br /> Address ,�q�3 yQ��{�,Q,� QQ Work Phone
<br /> City Z/�/n�'{y/ZyJJI � State �_ Zip , 3,3,-�2 Cell Phone
<br /> Job Address Email
<br /> Condo / Assoc Requires Association Board Approval � Yes � No
<br /> Number of Openings Products 2�Ji�]l��L /�pp�OG�/l.� Sfi�Ulr�/�
<br /> High Work Elevation �� Color �White �Ivory �Beige �Bronze
<br /> ��t�/�.��Ja /��ST.�ELL �iV17 - Gr4
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<br /> : �,I�L/kG / .5
<br /> Terms Cash Finance /`,��.�� tc:�3!(� ContractAmount $ /,�,°
<br /> 1 Deposit $ �� � � �� , ��,2'� Engineering & Permit(s) $
<br /> 00
<br /> 2 Design Payment $ -�-� Notice Of Commencement $�-3-�6- ' f 3
<br /> 3 Upon Installation $ � f �as7� oF P�Mi i Administration Fee $�}$-96-
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<br /> �� �� fl �et including permit) Sub-Total $ ��.2 J�.o 0
<br /> Financing ! Terms �' Y ' � � b� �� ��� �'� ? �
<br /> Make al ayments payable to RollShield LLC �-,°�
<br /> �� �s� < <, ���: � i' !_ A S - f �
<br /> Buyer's Signature �..�c=vLJ � Date � —/— // �
<br /> Buyer's Signature te �.; K, yP �.
<br /> Representative Signature � �� � Acce�tecf By - ��
<br /> This order becomes an AGREEMENT only when it is accepted by SELLER at his home offce, as reflerted by the acceptance and signature of a company offcer Execution of this
<br /> AGREEMENT by BUYER conshtutes authorization for RoIlShield, LLC To obtain BUYER's credit report from a credit-reporting agency An interest charge of 1 5°io per month will be
<br /> added to accounts not paid at installation. Addihonal terms & conditions are on the reverse side of this AGREEMENT
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