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Customers Last Name,First Neme ,/ Sfota N Order No.
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B®ngfAAeil (udlfre Se Address) .
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CUSID901's MIT=: BY INInALING,YOU AGFUM Tiler BY YOUR SIGN911RE BELOW,HOME DEPOT,ITS AFFIUM,OR AN AUTHORIZED HEPRFS90MVE MAY COM=YOU BY
PHONE,FAX OR r-N&ABOUT OTHER SEfMCEB THAT MAY BE OF WSIEST TO YOU.YOU MAY ALWAYS CHANGE YOUR WWO LATE1;JUST LET US I..
PaymBl>>: .
_ASP t.— Due immE iatety.
SalesTax: $ If applicable. �FinanLfng Program r�ki;'�
Total Amount of Sale: $ Includes all applicable discounts,rebates,and taxes.Excludes finance charges.'
'Airy finance charges will be determined by your separate cardholder or loan agreemenL Home Depot is NOT a party to your cardholder or loan agreemerd.Please see
the General Tents and Conddions MOMng this page for more details regarding other charges which may apply.
Anticlp&A Installation Schedule Please note that neither Home Depot nor Installation Professional are responsible for startlflnish delays resulting from events
beyond their control Including,but not limited to,acts of nature,governmental actions,manufaduringldetivery delays caused
by third parties,damage to merchandise,labor stn'kesfunrest,Your financing, mcofred'information You rovide,legal
Q�y 9,airy'
Stan Dom' —� encumbrances an Your property,Your properlys nonconformance with zoning regulations or building code requRements,
hidderdurdoreseen physlcal/hazardous conditions(mcludmg,but not limited to,environmental hazards such as mold,asbestos
Fmfsh Date:_(_J and lead paint)at Your service address,Your noncompliance with this Agreement,or Change Orders.Home Deport reserves
the right to terminate this Agreement and/or require Installer to discontinue Installation given any of the foregoing conditions.
Definitions"You"Nour"Imeans the customer Identified above.'Installation"means the Installation services specified in thisAgreemerd."installation
Professional"or"Professional"means an independent contractor authorized by Home Depot(licensed and Insured as required by Home Depot and
applicable law)and the contractor's employees,agents and subcontractors."Agmement"means this Special ServiceS/Home ImprovementAgreement
6etweenYou and Home DepotU.S A,Inc.(interchangeabty referred to as"Home Depot'l,which Includes this page,the GeneralTerms and Conditions
following 16 page,the State.Supplemerd, the Invoice or Specifications and any other documents expressly made apart of this Agreement Please
see this Agreements General Terms and Conditions for additional definitions.
Acceptance and Authorization:By signingbelow,You authorize Home Depot to(a)arrange for Installation Professional to perform Installation and/
or(b)order and arrange for-the delivery of special order merchandise,Including special order merchandise that may be custom made,as specified
In this Agreement.You understand this Agreement constitutes the entire understanding betweenYou and Home Depot and may only be amended
by a Change Older signed by Home Depot for by Installation Professional or Its authorized representative on Home Depot's behalf)and You This
Agreement expressly,supersedes all prior written or verbal agreements or representations made by Home Depot,Installation Professfonal,You,or
anyone else.Except as set forth to this Agreement,You agree there are no oral or written representations or Inducements,express or implied,In
any way conditioning this Agreement,and You expressty disclaim their existence.Do not sign 9 blank or Incomplete.(Installation Professfonal'sl
permitting informaficn may need to be provided toYou later.)By signing,You acknowledgethatYou have read,understand,and accept this Agreement
In,its entirety.You further acknowledge receiving a complete copy.Keep It to protectNbur legal rights.
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Customers IA-0—BY INffllWNRYOUAITTHORRE DELIVERY OF MERCHANDISE
TO SERVICE ADDRESS PROVIDED ABOVE WITHOUT OBTAINING DELIVERY AGENTS
SIGNATURE AND AGREE TO INDEMNIFY AND HOLD HOME DEPOT HARMLESS FROM ANY PmtesmnatsTeLNo ��L/ L/�('
RESULTING CLAIMS sd' J
M apo a rsM a Pf-nr4fs—n irr 9ae Dais
Pleasee PAWT1baSefes mans Lkense NaeAppocahe
GOMHOMMEPOLCOMCENSTNUM aMFORACOMPLEMLISTGFUCENSENUMeERS.
BUYER'S TUGHI M CANCEL-SEE GIS ERALTERMMHDmONS -
Home Depot U.S.A.Inc.,2455 Paces Ferry Road,N.W.,Bldg.B.3,Atlanta,Georgia 30339 ^"—
H6165(1211PJ12) DISTRIBUTION:White—Home Depot Copy Yellow—Customer Copy Pink—InstaudOn Professional Copy