Equipment Leasing Agreement

               Equipment Leasing Agreement

Chambers agrees to furnish and Customer agrees to hire the
services of ______________________________________________
______________("Equipment"), to be installed at the
address [s] indicated below, subject solely to the terms
and conditions of the existing Chambers Contract Pricing
Agreement between________________________________________
and Chambers Corporation.

Monthly      Annual     Two Year    Contract No:
Customer and Billing Address      Installation Address
____________________________      ________________________
____________________________      ________________________
____________________________      ________________________
____________________________      ________________________

Customer acknowledges the responsibilities of providing
suitable electrical service and the payment of charges for
the placement, removal, and any rigging expense for the
equipment and accessories ordered herein.

Earliest Customer Acceptance Date_____________
Equipment Purchase Order Required    Yes, if yes complete below:
Equipment Purchase Order No:_____________From_______To_________
CCP Special Reference Number_______________________
Customer Authorizes Initial Supplies:     Yes:          No
Supply Purchase Order No:__________Supply Agreement No:________
Supply Purchase Order:   Not necessary    Attached    To Follow

Acceptance of this agreement is contingent upon review and
approval of Chambers Corporation's Credit Department.

This Agreement shall terminate in the event that Customer
makes an assignment for the benefit of creditors, or a
voluntary or involuntary petition is filed by or against
the Customer under any law having for its purpose the
adjudication of Customer as bankrupt or the reorganization
of Customer or may be cancelled by Chambers without notice
should Customer default in the payment of any money due

____________________            ___________________
Customer's Signature            Chambers Corporation
By:_________________            By________________Date_____
Title_______________            Title_________Branch_______

We are happy to provide these forms as a free service to the entire Internet community. However, please understand that these forms are general and not state specific. For a great collection of state specific forms go to