AGREEMENT DATE: _____________
GASCO hereinafter referred to as "Supplier" and ____________________________, hereinafter referred to as "Consumer," do hereby enter into this "Pre-Purchase Agreement" hereinafter referred to as "Agreement", as follows:
Supplier will provide to the Consumer _________ gallons of propane for the guaranteed sum of ________ cents per gallon, to be delivered between September 1, 2000 and April 30, 20001; said deliveries of propane to be made to Consumel by Supplier on an "automatic delivery" basis. The account will remain on automatic delivery after the contract has ended unless notification is received from consumer.
Total Guaranteed Pre-Purchase Agreement amount: $________________
Payment to Supplier by Consumer shall be as follows: One third of total Pre-Purchase Agreement amount due upon execution of Agreement, an additional one third of Agreement amount due within 30 days of execution and the final one third due on or before August 31, 2000. Any payment not received on or before its due date shall be considered to be in default of this Agreement and will cause Agreement to be retroactively terminated.
Any monetary amount tendered prior to default shall at Consumer option:
1. Remain on account as a credit balance.
2. Be refunded by Supplier within 90 days of default Iess an administrative surcharge of $125.00.
PAYMENT SCHEDULE
TOTAL AGREEMENT AMOUNT $___________________
DOWN PAYMENT, DUE IN 10 DAYS $_______________
1/3 30 DAYS, DUE 7/31/2000 $____________________
BALANCE DUE BEFORE 8/31/2000 $_______________
Upon exhaustion of Agreement gallons Consumer will be invoiced at Supplier's current rate for propane in Consumer's type of equipment. In the event that Consumer does not exhaust Agreement gallons, any remaining credit balance on Consumer's account will be utilized to offset futer propane purchases. No cash refunds of unused pre-purchase amounts will be made to consumer.
This Agreement shall be considered binding upon both Consumer and Supplier, their successors, assigns, designates, devisees, legatees, and heirs. This Agreement may be mutually terminated at any point in time upon written consent of both parties. This Agreement shall be considered null and void if not executed by Consumer and returned to Supplier within 15 days of Agreement Date.
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CONSUMER
GASCO Authorized Representative
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Witness
Witness
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Date
Date
Print and Send to:
GASCO
P.O. Box 816
Three Lakes, WI 54562