RESIDENTIAL WATER TREATMENT SYSTEM RENTAL AGREEMENTResidential Water Treatment System Rental Agreement • September 22nd, 2015 • Ontario
Sales Representative: Telephone Number: Credit Approval Number: Lessee is: □ Owner□ Tenant Mr Mrs Miss Ms Given Name: Middle Name: Surname or Corporate Name: Installation Address: (Number, Street Name, Unit Number) Town or City: Postal Code: Province: Tel/Fax Number: Mailing Address: (Number, Street Name, Unit Number) Town or City: Postal Code: Province: Tel/Fax Number: Email Address: Opportunity Number: Installation Date: Equipment Type: □ Water Softener □ Water Filtration System□ Reverse Osmosis System Preferred delivery and installation date (delivery and installation on specified date if possible): Equipment Model: Serial Number: Current Calendar Year Rental Rate (excl. taxes):
