W2964 – 850th Ave
Spring Valley, WI 54767
Purchase Agreement
Title of Firm _________________
Location ________________ # of Tables ______
Address _____________________ AD Size _________________ Ad # ____________
City/State ____________________ AD Cost $ ___________ Ck # ______ Amt _____
Zip __________ Telephone _____________ Email: ___________________________
1.
Payment Schedule. Purchase agreement to the following Items:
Down Payment $_______________________
____Payments of $_____________________
____Payments of $______________________
All Payments are to be Payable to ProTables. A 5% late fee will apply to any late payments.
All deposits are nonrefundable. There will be a $35.00 charge for any and all returned checks.
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Purchaser understands that an ad copy will be furnished by Seller for Purchaser’s approval before
construction of the tables. Any changes in as copy on the first proof will be provided at no charge.
Purchaser understands that construction of the tables will begin upon the completion of the selling and
proof process. Should seller be unable to complete the project of construction of the tables, Purchaser
will be given a full refund.
Purchaser understands that failure to supply photographs, etc., delaying the normal manufacturing
process could result in ad production excluding the use of photographs, etc.
Purchaser warrants that they have the right to use any and all names, trademarks, trade names,
portraits, logos, photographs and/or illustration requested herein. Purchaser further agrees to hold
harmless Pro Tables from and against any and all liability and/or claims and will pay all expenses
incurred by either party in the defense thereof arising out of the publication of such in accordance with
this contract.
Seller reserves the right to change location of the table if as spots cannot be filled within 60 days, or it the
restaurant ceases operation. If the restaurant ceases and seller is unable to relocate tables in immediate
community, the Purchaser understands that the Restaurant owner will be responsible for the prorated
refund of the purchase amount.
PURCHASER HAS READ THE ABOVE OUTLINED TERMS AND ACKNOWLEDGES SUCH BY THE
AFFIXED SIGNATURE. Upon affixing a signature to this contract this agreement becomes legal and
binding.
Purchasing Agent/Owner ____________________________________________________( Print)
Signature of Purchasing Agent/Owner _____________________________________ Date___________
_______________ Representative __________________________________________ Date___________
Payment Authorization
PLEASE ATTACH A VOID OR BLANK CHECK • REQUEST FOR PREAUTHORIZED PAYMENT
I/We hereby request the privilege of paying Pro Tables (“The Company”), Spring Valley, WI 54767, and further authorize the
company to draw items (checks, electronic funds transfers, charge cards) for the purpose of paying said payments, including any
late fees or service fees, on the account of
PRINT NAME AS IT APPEARS ON ACCOUNT
PRINT THE ADDRESS AS IT APPEARS ON THE ACCOUNT
__________________________________________
CREDIT/DEBIT CARD NUMBER
 VISA
 MASTERCARD
______/_________
EXP. DATE
 AMERICAN EXPRESS  DISCOVER
________________________________________________________________________________________________
BANK NAME
ROUTING NUMBER
ACCOUNT NUMBER
 CHECKING  SAVINGS
Subject to the following conditions:
1. The items shall be drawn on or about the dates of the Payment Schedule. The transactions on your bank statement will
constitute receipts for payment on your account.
2. By executing this agreement, you acknowledge your awareness that certain disclosures required by the Electronic
Funds Transfer Act and its regulations are made available to you at www.abcfinacial.com under terms and conditions.
3. The privilege of making payments under this arrangement may be revoked by the Company if any item is not paid upon
presentation.
4. If this preauthorization payment arrangement is revoked for any reason, this does not release you from your obligation
(Payment Schedule).
5. A service fee will be assessed and drafted for any check, draft, credit card, or returned for insufficient funds or any
other reasons. A late fee will be assessed and drafted should any monthly payment become past due.
6. This preauthorization payment arrangement shall apply to the following Applicant(s):
____________________________________________________
ACCOUNT HOLDER SIGNATURE
_________________________
DATE