I am enclosing a check for $ ________________________ the total amount due for
Speedotron Plus-3 Protection Plan Service Contract for the equipment l have listed.
Speedotron agrees to provide repair service for said equipment, should it become
necessary, according to the terms and conditions (see back) set forth in this agreement.
No terms or conditions, expressed or implied, are authorized unless they appear on the
original of this agreement. This agreement is not valid unless signed by both parties.
Customer acceptance:
I have read, fully understand, and agree to the terms and conditions of this agreement.
Customer Name _________________________________________________________________
Signature________________________________________________________________________
Speedotron acceptance:
Speedotron agrees to provide repair service for the equipment listed in this agreement,
according to the terms and conditions set forth herein.
Authorized Speedotron Official _____________________________________________________
Signature________________________________________________________________________
The Speedotron Plus-3 protection Plan
for the above listed equipment will expire on ________________________________________
When returning this Plus-3 Protection Plan
application, please include the following:
1.
the completed application form,
2.
completed warranty information card
3.
a copy of sale invoice with the dealer’s name and address,
4.
a check for the full amount of coverage for each piece of equipment to be covered
Send to:
Speedotron Corporation
310 South Racine Avenue
Chicago, Illinois 60607
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