Supplies Cost Per Page Contract ProcessSupplies Cost Per Page Contract Coversheet Follow These Steps...
2
Supplies Cost Per Page Contract Process The Supplies Cost Per Page Contract is between Xerox and the Customer. The reseller facilitates the transaction which allows the Customer to pay a fixed charge per page that covers all supplies (excluding media). What the reseller does: 1. Downloads the Cost Per Page Package at www.xerox.com/office/resellers (under Partner Programs) 2. Emails these documents to [email protected]: • Cost Per Page Contract Coversheet • Xerox Order Agreement—completed as shown below • Distribution Invoice (showing serial number and accessories) What Xerox does: • Audits the documents. If the documents are in order, the process takes five-working days • Emails the reseller to confirm that the contract has been processed Section 1—Customer Information • Complete this section Section 3—Maintenance Details • On 1 st line write the model and serial number • On 2 nd and 3 rd lines, enter the B/W and Colour (if applicable) information: – Duration—# of months of the contract. It can be 12, 24, 36, or 48 – Toner Included—this is always “Y” – Developer Included—this is always “Y” – Billing Frequency—M=monthly, Q=quarterly (S and A are not applicable) – Initial Base Support—this is always “–” – Initial Volume Allowance / Unit — this is always “–” – Initial Price Per Impression—this price is found on the Cost Per Page Contract for Supplies pricing chart Section 5—Authorizations • Do not write in the “Xerox Canada Ltd.” section • Have the Customer sign the “Customer” section. Do not sign using reseller name • Use the current date only. Do not backdate Contract Type Payment Frequency Monthly (M) Quarterly (Q) Semi-annually (S) Annually (A) Once Other Number of Payments Term in Months Customer Legal Name & Address Installation Address (if different) Information Appendices Standard Terms and Conditions (TC0200) Maintenance Product 2a Product Description Duration (Mos.) Quantity Toner included yes (Y) or no (N) Developer Included yes (Y) or no (N) Initial Base/Support Charge per unit Billing Frequency (M, Q, S, A) Initial Volume Allowance per unit Initial Price per Impression Periodic Payment (Excluding Maintenance) $ ________________ Xerox Canada Ltd. Customer: PST Exempt HST Exempt QST Exempt GST Exempt (Attach Certificate) Serial Number In-Place Equipment I agree to Pre-Authorized Debit (TC2100 – Void Cheque Attached) 4 Authorized Xerox Representative Date (mm/dd/yyyy) Name (Please Print) Authorized Customer Representative Date (mm/dd/yyyy) Name (Please Print) Taxes Extra Where Applicable. For Québec only: Customer has requested that this Agreement and all related documents be drawn up in the English language. Le client a demandé que le présent contrat et toute la documentation d’accompagnement soient rédigés en anglais. ©2010 Xerox Corporation. All rights reserved. XEROX ® , XEROX and Design®are trademarks of Xerox Corporation in the United States and/or other countries. Xerox Canada Ltd. is the licensee of all the trademarks. 5 Authorization Financial Details 2b 3 Maintenance Details Xerox to Remove (Y/N) This is an agreement between Xerox Canada Ltd. and Customer for the transaction(s) described below and incorporates terms and conditions attached hereto including without limitation all Appendices referred to below. TC0100-C January 5, 2012 How to complete the Xerox Order Agreement (XOA) Customer Customer egal egal Name Name & Address Address Ins Ins t allation allation Address Address (if (if dif dif erent) erent) f f 1 Customer Customer In In f ormation ormation f f Main Main t enance enance Du Du r ation ation (Mos.) (Mos.) T oner oner T T included included y es es (Y) (Y) or or no no (N) (N) D e v eloper eloper Included Included y es es (Y) (Y) or or no no (N) (N) Initial Initial Base/Support Base/Support Charge Charge per per unit unit Billing Billing F requency requency (M, (M, Q, Q, S, S, A) A) Initial Initial V olume olume Allowance Allowance per per unit unit Initial Initial P rice rice per per Impression Impression 3 Main Main t enance enance De De t ails ails Customer Customer Authorized Authorized Customer Customer R epresen epresen t ati ati v e Da Da t e (mm/dd/yyyy) (mm/dd/yyyy) Name Name (Please (Please P rint) rint) 1 3 5 ©2013 Xerox Corporation. All rights reserved. Xerox® and Xerox and Design® are trademarks of Xerox Corporation in the United States and/or other countries. Xerox Canada Ltd. is a licensee of all Xerox trademarks. CPPPK-01CE 2012-11-00113
Transcript of Supplies Cost Per Page Contract ProcessSupplies Cost Per Page Contract Coversheet Follow These Steps...
Supplies Cost Per Page ContractProcess
The Supplies Cost Per Page Contract is between Xerox and the Customer. The reseller facilitates the transaction which allows the Customer to pay a fixed charge per page that covers all supplies (excluding media).
What the reseller does:1. Downloads the Cost Per Page Package at www.xerox.com/office/resellers
(under Partner Programs)
2. Emails these documents to [email protected]:• Cost Per Page Contract Coversheet• Xerox Order Agreement—completed as shown below• Distribution Invoice (showing serial number and accessories)
What Xerox does:• Audits the documents. If the documents are in order, the process takes five-working days• Emails the reseller to confirm that the contract has been processed
Section 1—Customer Information• Complete this section
Section 3—Maintenance Details• On 1st line write the model and serial number• On 2nd and 3rd lines, enter the B/W and Colour (if
applicable) information: – Duration—# of months of the contract. It can
be 12, 24, 36, or 48 – Toner Included—this is always “Y” – Developer Included—this is always “Y” – Billing Frequency—M=monthly, Q=quarterly
(S and A are not applicable) – Initial Base Support—this is always “–” – Initial Volume Allowance / Unit — this is always “–” – Initial Price Per Impression—this price is found
on the Cost Per Page Contract for Supplies pricing chart
Section 5—Authorizations• Do not write in the “Xerox Canada Ltd.” section• Have the Customer sign the “Customer” section.
Do not sign using reseller name• Use the current date only. Do not backdate
Contract Type
Payment Frequency
Monthly (M) Quarterly (Q)
Semi-annually (S) Annually (A)
Once Other
Number of Payments
Term in Months
Customer Legal Name & Address Installation Address (if different)1
Cust
omer
Info
rmat
ion
Appendices
Standard Terms and Conditions (TC0200)
MaintenanceProduct
2a
Prod
uct D
escr
iptio
n
Dura
tion
(Mos
.)
Quan
tity
Tone
r inc
lude
dye
s (Y)
or n
o (N
)De
velo
per I
nclu
ded
yes (
Y) o
r no
(N)
Initi
al B
ase/
Supp
ort
Char
ge p
er u
nit
Billin
g Fr
eque
ncy
(M, Q
, S, A
)
Initi
al V
olum
eAl
lowan
ce p
er u
nit
Initi
al P
rice
per
Impr
essio
n
Periodic Payment(Excluding Maintenance)
$ ________________
Xerox Canada Ltd. Customer
Customer:PST Exempt HST ExemptQST Exempt GST Exempt
(Attach Certificate)
Serial Number
In-Place Equipment
I agree to Pre-Authorized Debit (TC2100 – Void Cheque Attached)
4
Authorized Xerox Representative
Date (mm/dd/yyyy) Name (Please Print)
Authorized Customer Representative
Date (mm/dd/yyyy) Name (Please Print)
Taxes Extra Where Applicable.For Québec only: Customer has requested that this Agreement and all related documents be drawn up in the English language. Le client a demandé que le présent contrat et toute la documentation d’accompagnement soient rédigés en anglais.©2010 Xerox Corporation. All rights reserved. XEROX®, XEROX and Design® are trademarks of Xerox Corporation in the United States and/or other countries. Xerox Canada Ltd. is the licensee of all the trademarks.
5
Auth
oriza
tion
Fina
ncia
l Det
ails
2b
3
Mai
nten
ance
Det
ails
Xerox toRemove (Y/N)
This is an agreement between Xerox Canada Ltd. and Customer for the transaction(s) described below and incorporates terms and conditions attached hereto including without limitation all Appendices referred to below.
TC0100-C January 5, 2012
How to complete the Xerox Order Agreement (XOA)CustomerCustomer LLegalegal NameName && AddressAddress InsInsttallationallation AddressAddress (if(if difdiffferent)erent)fferent)ff11
Cust
omer
Cust
omer
InInffo
rmat
ion
orm
atio
nffo
rmat
ion
ff
MainMainttenanceenance DuDurra
tion
atio
n(M
os.)
(Mos
.)TTo
ner
oner
TTone
rTT
inclu
ded
inclu
ded
yyeses
(Y)
(Y) o
rornono
(N)
(N)
DDeevve
lope
relo
per I
nclu
ded
Inclu
ded
yyeses
(Y)
(Y) o
rornono
(N)
(N)
Initi
alIn
itial
Base
/Sup
port
Base
/Sup
port
Char
geCh
arge
per
per u
nit
unit
Billin
gBi
lling
FFreq
uenc
y
requ
ency
(M,
(M, Q
,Q, S,S,A)A)
Initi
alIn
itial
VVolu
me
olum
eAl
lowan
ce
Allo
wance
per
per u
nit
unit
Initi
alIn
itial
PPriceric
epe
rpe
r
Impr
essio
n
Impr
essio
n
33
Mai
nM
aintt
enan
ceen
ance
De
Dett
ails
ails
CustomerCustomer
AuthorizedAuthorized CustomerCustomer RRepresenepresenttatiativvee
DaDattee (mm/dd/yyyy)(mm/dd/yyyy) NameName (Please(Please PPrint)rint)
1
3
5
©2013 Xerox Corporation. All rights reserved. Xerox® and Xerox and Design® are trademarks of Xerox Corporation in the United States and/or other countries. Xerox Canada Ltd. is a licensee of all Xerox trademarks. CPPPK-01CE 2012-11-00113
Supplies Cost Per Page ContractCoversheet
Follow These Steps1. Determine the type of Cost Per Page Contract:
Supplies-Only (Orange) or Supplies & Service (Purple).
2. Download the appropriate Flyer and Contract Package from www.xerox.com/office/resellers (under Partner Programs).
3. Complete these documents and email to [email protected]• This Coversheet• Xerox Order Agreement (XOA)• Distribution Invoice (showing serial number
and accessories)
A. Reseller Information
Company Name
Contact Name
Phone and Fax
Email Address
B. Customer Information
Company Name
Contact Name
Phone and Fax
Email Address
Order Information—Xerox Internal Use Only
List of Accessory Part Numbers
Order Number Serial Number
Customer Number Supply Bill Code
Service Plan Type Duration/Billing Frequency
C.P.C. Service/Branch/Team/Territory
Postal Code Order Quality Code
Order Date Order Received Date
Territory Rep Employee # TVP Number
C. Multiple Installation Locations (Optional)
Additional Location 01 Additional Location 02
Model and Serial #
If “yes”, enter the installation locations below. If additional space is needed, attach separate sheet with model, serial #, company name, address, contact, and phone number.If “no”, a separate package must be completed for each model.
Are all the products the same model? Yes No
Street Address
City, Province
Postal Code
Contact Name
Contact Phone Number
