Lampemarinev3

REQUIRED CUSTOMER AGREEMENT

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Name
Billing Address
Email :
Name as it appears on the card

Additional Authorized Name / User on CC

Name
Additional Authorized name / user on CC
Name
Additional Authorized name / user on CC
I understand that use of marine equipment and machinery is inherently dangerous and that there are risks involved in the repair, maintenance, testing, operation, winterization, and de-winterization of my vessel and/or mechanical equipment that may affect its use and/or safety. Lampe Marine Maintenance, LLC (LMM) is not willing to provide services, material, or equipment (the “Work”) to me without a limitation of such liability. Accordingly, on behalf of myself, my personal representatives, successors and assigns (“Releasors”), by my digital signature below and your agreement to provide such Work, hereby waive, release, and forever discharge Lampe Marine Maintenance, LLC, and its officers, employees, agents, successors and assigns (Releasees”) from and against all claims, liabilities, obligations, promises, agreements, disputes, demands, damages, and causes of action of any nature and kind, known or unknown, including but not limited to consequential damages, Releasors have or ever had or may in the future have against Releasees relating to the Work; provided, however, Releasors may be liable to Releasors for Work contracted for but not received in an amount up to but not exceeding such sums actually received by Releasors from Releasees relating to the Work. Releasors authorize LMM to keep a current credit card on file and authorize LMM to charge up to $2500 for all contracted services or any parts required for work required without prior written or verbal confirmation.
I hereby authorize repair work to be done to my vessel along with necessary materials. You and your employees may operate unit for purposes of testing, inspections, or delivery at my risk. An express mechanic’s lien is acknowledged on unit to secure the amount of repairs thereto. Any employees of Lampe Marine Maintenance will not be held responsible for the loss or damage to unit or articles left in the unit in case of theft, accident, or any other cause beyond Lampe Marine’s control. I acknowledge and agree that any special order part or part in excess of $500.00 will be required to be paid in advance, with labor to be billed upon work completion. I understand and agree that there will be a 25% restocking fee on any returned special order parts. I understand that upon work order completion, the following will occur: 1) Lampe Marine will send invoice immediately to inform me that work has been completed. 2) No additional copies will be mailed with my monthly statement. 3) I will be given the opportunity to send a check upon receipt of my monthly statement to avoid the charges being placed on my credit card. 4) If Lampe Marine Maintenance does not receive payment prior to the 15 th of the following month, my credit card will be billed on the 15 th . Any checks received after the 15 th will be returned to the customer. I agree that if the credit card on file at Lampe Marine does not authorize payment, my account will be placed on “cash” status until the information is updated. Finance charges will be assessed at the rate of 18% per annum and a $29 late fee will be assessed each month until the account is paid in full. Unless arrangements have been made or a known dispute is being reconciled, accounts 60 days past due will be sent for collection or submitted to small claims court, at our discretion. My digital signature below attests and commits financial responsibility, ability and willingness to pay invoices in accordance with the terms indicated. In the event it becomes necessary to place my account on collection status, I agree to pay the unpaid balance, all late charges, other lawful charges, and all costs and expenses of collection.
Confirmation