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Quote #: 00028905 <br /> <br />1.800.838.7927 | dc-group.com Page 7 of 9 DCG-QPM-FRM0004 11/07/2019 <br />SIGNATURES <br /> <br /> <br />PLEASE CHECK BELOW WHICH OPTION YOU CHOOSE BEFORE SIGNING <br /> <br /> <br />1 YEAR <br /> <br />3 YEAR <br /> <br />5 YEAR <br />$1,122.00 $ 1,099.56 $ 1,077.12 <br />(pricing before tax) (per year billed annually before tax) (per year billed annually before tax) <br /> <br /> <br /> <br />Company Name: <br /> <br />Contract Start Date: <br /> <br /> <br />Purchase Order #: <br /> <br />Site Contact Person: <br /> <br /> <br />Phone: <br /> <br /> <br />Email: <br /> <br /> <br />Billing Contact: <br /> <br />2 <br /> <br /> <br /> <br /> <br />Purchase Order must be assigned to: Send electronic purchase orders to: <br />DC Group, Inc. <br />1977 West River Road N. <br />Minneapolis, MN 55411 <br />PurchaseOrders@dc-group.com <br /> <br /> <br />All DC Group Standard Terms and Conditions are applicable with this Service Contract & Price Quotation. Additional <br />or different terms proposed by Company, whether in a purchase order or otherwise, shall not be binding on DC Group. <br /> <br />Company <br /> <br />DC Group, Inc. <br />By: <br /> <br />By: <br />Name: <br /> <br />Name: <br />Title: <br /> <br />Title: <br />Date: <br /> <br />Date: <br />DocuSign Envelope ID: 54BA1921-8F92-4021-B689-3B0D59C56E0A