Name

First Name

Last Name

Phone

(###)

###

####

CARD BILLING ADDRESS *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

DEPOSIT AGREEMENT: - I UNDERSTAND THAT THIS DEPOSIT IS AN AGREEMENT TO PURCHASE A PIECE/PIECES OF EQUIPMENT, AND THIS IS A NON-REFUNDABLE DEPOSIT. DEPOSITS CAN BE TRANSFERRED TO A DIFFERENT PIECE OF EQUIPMENT IF NEEDED, BUT CANNOT BE REFUNDED. *

I AGREE

CARD PROCESSING AGREEMENT: - I AUTHORIZE FAST EQUIPMENT TO PROCESS MY CARD FOR THE AMOUNT STATED ABOVE. *

I AGREE