GPS発信機契約書

携帯OK0120-919-049 全国一律料金IPフォン050-3797-3129 (9時-21時)

GPS Rental Agreement Authorization Form
I understand that by initialing each clause below, I signify my agreement with each clause.
 (Initial Here)
I confirm that I am a registered owner or legal owner of the vehicle to be tracked by GPS. I agree to provide verification of such ownership. If ownership is not available, I understand that QiQ Research, Inc. may charge an additional $399 to verify said ownership.
(Initial Here)
Upon sending this agreement by fax, email or postal mail to QiQ Research, Inc., I will becharged $350 per week or  $1,000 per month rental fee for each GPS device.
(Initial Here)
I agree to a fee of $600 if the GPS device is lost during the rental period (i.e. removed by vehicle driver, mechanic, other persons or actions). I further understand that if the GPS product is deemed damaged during the rental period, I will be responsible for anylabor and/or parts charges to repair the unit up to a maximum fee of $600.
 (Initial Here)
I agree to an installation and removal trip charge of $________. I understand that this trip charge includes one trip for installation and one trip for removal, and that I am responsible for providing a valid address to QiQ Researchm, Inc. to conduct the installation and removal activities.
(Initial Here)
My rental period begins upon installation onto the vehicle and receipt of payment for both the installation trip charge and first week’s rental. If the installation is unsuccessful due to circumstances outside the control of QiQ Research, Inc. (circumstances such as vehicle not at the location provided, vehicle parked in a busy area, vehicle not accessible to the public, etc.), I understand that an additional trip charge may apply.
(Initial Here)
I will continue to be charged $350 per week or $1000 per month, depending on my rental choice above, if the vehicle is not made available for removal of the GPS Device when required.
(Initial Here)
My monthly / weekly rental fees will not be prorated and there will be no partial refund given if I request the GPS device to be removed early.
(Initial Here)
I agree to indemnify and hold harmless, QiQ Research, inc., its contractors and agents, in the event that the GPS device is discovered by the driver of the vehicle before, during and after the rental period duration.
(Initial Here)
My billing information and personal information will be kept confidential and will not be disclosed to any third parties.
 
I authorize QiQ Research, inc. to charge me the following fees: GPS Rental Fees: $350 per week or  $1,000 per month Installation/Removal Trip Charge: $_____________ GPS Lost or Damage Fee:  up to $600 (to be due and payable only if the unit is damaged or lost. QiQ Research, Inc. will advise if these charges are due and payable.

Client Signature:

Date:

Billing / Contact Information:
Name:
Address:
Phone:
Email:

QiQ Research, Inc.
2-6-20-504 Kitashinjuku Shinjuku Tokyo 1690074 Japan
Phone: 03-3362-3939 Fax: 03-3227-1088 Email: job@919049.com

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