Orange County NC Website
DocuSign Envelope ID:CF88711B-EC21-4B19-9D93-F2D593C7F3CA <br /> SIGNATURES <br /> PLEASE CHECK BELOW WHICH OPTION YOU CHOOSE BEFORE SIGNING <br /> 1 YEAR ❑ 3 YEAR ❑ 5 YEAR ❑ <br /> $1,100.00 $ 1,078.00 $ 1,056.00 <br /> (per year billed annually) (per year billed annually) <br /> Automatic Renewal Option — initial here to additionally elect the Automatic Renewal Option <br /> DC Group now offers the Automatic Renewal Option for your convenience and economic savings. Convenience <br /> means the contract will automatically renew for one year periods at the end of the original term and each renewal <br /> year. Economic savings means no price increase during the first two years of the renewal term (for first-time users) <br /> and limited price increases after the first two years of the renewal term. See paragraph 13 for complete Automatic <br /> Renewal Option terms. <br /> Customer Name: <br /> Customer Signature: <br /> Contract Start Date: <br /> Purchase Order#: <br /> Site Contact Person: <br /> Phone: <br /> Email: <br /> Billing Contact: <br /> DC Group Inc <br /> Authorized Signature: <br /> Print name/title: <br /> Date <br /> Purchase Order must be assigned to: Send electronic purchase orders to: <br /> DC Group, Inc. <br /> 1977 West River Road PurchaseOrders@dc-group.com <br /> Minneapolis, MN 55411 <br /> 1.800.838.7927 1 dc-group.com Page 7 of 10 DCG—QPM—FRM0004 3/12/2018 upon <br />