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s <br /> 900Stericycle' Account/Site# <br /> r ftoklo rg heapk,494ming W1 <br /> Mailback Service Agreement <br /> Service Address: Billing Address: <br /> Name: Exhale Salon and Spa/Chao Mircoblading Name: Exhale Salon and Spa <br /> Address 1: 103 W Pine St Address 1: 103 W Pine St <br /> Address 2: Address 2: <br /> City/State/Zip: Lodi,CA 95240 City/State/Zip: Lodi,CA 95240 <br /> E-Mail: chaoalanna@yahoo.com E-Mail: chaoalanna@yahoo.com <br /> Phone: (209)487-2132 Fax: NA Phone: Fax: <br /> Sales Rep: Tyler Fehring Generator ID#: <br /> Account has multiple sites locations.Yes* FF9 No FZ <br /> *If yes see attachment B for list of locations covered by this agreement. <br /> SCOPE OF SERVICES: <br /> 1. The effective date of this Agreement is 7/1/2017. <br /> 2. Service includes the provision and use of Stericycle Mailback Program products and services for Regulated Medical,Sharps and Amalgam/Mercury Waste. <br /> 3. Any additional services or products purchased by Customer shall be billed separately according to then-current Stericycle pricing but subject to the terms and <br /> conditions of this Agreement. <br /> Mailback Services Provided <br /> Product Item# Product Description Quantity Item Price Total <br /> Item Price <br /> 5GWMV5 5 GAL Wide Mouth Mail-Back System,Version 5 1.0 99.95 99.95 <br /> By signing below I acknowledge that I am the Customer's authorized officer or agent and that I have the authority to bind Customer to this Agreement. <br /> Customer agrees to be bound by the terms and conditions that appear on following pages hereof. <br /> CUSTOMER: X PLEASE PRINT Alanna chao Title Renting/owner <br /> AW4Ac6a&W 27,2017) Date Jun 27, <br /> STERICYCLE:X TG1GPiL i��l`f� Pr�L.�ErTAT77n�SE PRINT Tyler Fehring Title CSS <br /> Ty er Fehring(Jun 27,20ftf Date J un 2/,2U1/ <br /> 4010 Commercial Ave.,Northbrook,IL 60062 Phone:8479436171 Fax: <br /> Offer Expiration Date:6-30-2017 <br /> Generated by Tyler Fehring Contract Number SRCL-01114603 <br /> Adobe Sign Transaction Number:CBJCHBCAABAAjqufiSu6cZ-daECRJf-Ih HgelrVm5Eng <br />