Costco
Costco Wholesale Corporation/999 Lake Drive, Issaquah, WA 98027/Phone: 1-877-483-6226
Nevada B2 Residential & Small Commercial Contractor License No. 0062243/License Monetary Li
$200,000
HOME IMPROVEMENT SALES CONTRACT
(Nevada)
Print Member(s) Name: PHILIP ALEXANDER
Date:
‘Address of Property:4837 BOUGAINVILLEA DRIVE SPARKS, NV 89436 Year Home Built:2006
Mailing Address (if different):
Phone: Home
1, Description of the Project, Materials _ and
Equipment: Costco proposes to furnish you with
the materials, labor, equipment and supplies as
detailed in the plans and specifications for your
project (referred to herein as “Work Order’), ‘The
Work Order will include a plan and scale drawings.
Member's Initials:
2. Installation: Under this Contract, Costco does
not perform the installation work.” Costco will
subcontract the work to an authorized independent
third party subcontractor (‘Dealer’).
Member's Initials: ~
3. Contract Price: $
icluding applicable taxes. ‘The Contract Price is to
be made payable to Costco.
Member's Initials:
4, Residential Improvement Bond: Costco has filed
a Residential Improvement Bond for the Protection
of Consumers with the Nevada State Contractors
Board The bond waives the down payment provision,
set forth in Section 624 of NRS and permits payment
of the full Contract Price prior to performance of the
work. A copy of the bond is available upon your
request.
Member's Initials:
Work or Cell
— Email:
5. Approximate Start Date:
Work is considered to have begun when materials
for your Contract have been ordered. Installation
shall commence on the approximate date above,
subject to permissible delays set forth in this
Contract.
Member's Initials:_
6. Approximate Completion Date:
Work shall be substantially completed by the
approximate date above, subject to permissible
delays set forth in this Contract.
Member's initials:
7. Notices: Costco has provided you with the notice
and information form required by NRS 624.520
[Residential Recovery Fund Notice] and 624.600
[information Form Regarding Contractors] below. Be
advised that (1) you may contact the Nevada
Contractor Board if assistance is needed to clarify
any of the provisions of the Contract that you do not
fully understand; (2) you have the right to request a
bond for payment and performance if such a bond is.
not otherwise required pursuant to NRS 624.270; (3)
you may contact an attorney for an explanation of
your rights under the Contract; and (4) you may, If
the Contract was explained In a language other than
the language in which the Contract is written, ask
for a Contract that is written in the language in
which the Contract was explained.
Member's Initials: _
YOU, THE CONSUMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE
THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF
CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
By signing below, you hereby acknowledge that you have read and understand these documents, including all terms and
conditions of this Contract. You also acknowledge that you were verbally informed of your right to cancel this Contract. Once
this Contract is signed, you will receive a copy of the completed, signed and dated Contract.
Signature of Member,_
Signature of Dealers Representative:
Print Name of Dealer's Representative: TROY WILCOX
shanical Syste
Dealer Company Name: RHP.
Date
Date:
Dealer Company Address and Phone Number: 1008 E. 4th Street, Reno, NV 89512, (775) 322-9434
Dealer Company License (Type and Number: _3714 & 3714A —
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===SPECIAL ORDER:
Project Disclosures HVAC
1. Unless specified in the Work Order the following items are not included in the contract price:
a. Replacement of existing refrigeration lines
Replacement of existing condensate drain components
Replacement of existing electrical (high or low voltage), gas andlor venting components
Painting, patching, stucco repair or other finish work
Roofing, drywall or framing modifications
Any additional work requested or required to existing items will be quoted separately and are at the
Member's sole expense. If changes to the Work Order are necessary, they will be discussed and agreed
upon in writing prior to the commencement of work covered by the new change order.
2. Work to new or existing ductwork is limited to reasonably accessible areas of the home. Reasonably accessible
areas refers to areas which Dealer has access to without the necessity of removing fixed objects such as drywall,
pipes or other building materials. Inaccessible portions of ductwork will remain in place and as is.
3. Airflow to each conditioned room may change once the new or existing equipment and/or duct work has been
changed or reconnected. Unless specified in the Work Order, zoning and/or airflow dampers (mechanical airflow
controllers) are not included in the contract price, Certified air balancing is not included in the Work Order.
4, After the installation is complete, it may be necessary (based on local requirements) to schedule airflow and/or
system validation testing as well as any required permit inspection. All inspections are performed by third parties.
(Once the airflow and/or system validation testing is completed and the findings are received by the Dealer, the
local permit inspection can be scheduled, Access to the home will be needed forall inspections. Scheduling of
third party inspections are the responsibilty of the member. Allow testing failures due to existing ductwork are
not the responsibilty of Costco or the Dealer.
5. Unrelated local permit corrections or requirements beyond the Work Order are not the responsibility of Costco or
the Dealer.
6. Any required approvals from a Homeowners Association (or similar entity) are the member's responsibilty. Any
required approvals are to be obtained by the member prior to work beginning. Any fines, work stoppage, etc.
resulting from the failure to obtain the proper approvals are not the responsibilty of Costco or the Dealer.
7. Any applicable rebates or incentives (other than Costco membership offers) are based on the availabilty of the
third party provider(s) offering them. Rebate or incentive funds may not be available by the time your installation
takes place, The member is responsible for the submission and confirmation of any third party rebates or
incentives prior to installation
Additional disclosures:
Print Member name:
Member Signature: Date:
Updated 1252021 Copy to Member - Copy to Gosteo‘COSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT - PAGE 2
Costco Return Policy Exception: Special order merchandise, custom merchandise and installed merchandise
‘cannot be returned or refunded after the expiration of your right to cancel period. This is an exception to
Costco's standard return policy. Member's Initials:
Note about Extra Work and Change Orders: Extra work and change orders including changes in scope or price
will become part of this Contract once the order is prepared in writing and signed by you and Costco or Dealer
prior to the commencement of work covered by the new change order. The order must describe the scope of the
extra work or change, the cost to be added or subtracted from the contract, and the effect the order will have on
the approximate completion date, Member's Initials:
Building Permits: Dealer will notify you of all necessary permits required by state or local codes and ordinances
for the work to be performed. Dealer will obtain the required permits, at your sole expense. You agree to
cooperate with Dealer by providing prompt information and execution of documents necessary for obtaining
permits. You are responsible for obtaining all approvals required by a homeowner association or community
association prior to the start of work. Member's Initials:
Limitation of Liability: TO THE FULLEST EXTENT PERMITTED BY LAW, NEITHER COSTCO NOR DEALER WILL BE
UABLE TO YOU FOR ANY INCIDENTAL, INDIRECT, CONSEQUENTIAL OR SPECIAL DAMAGES AND UNDER NO
CIRCUMSTANCE WILL COSTCO’S OR DEALER'S LIABILITY TO YOU EXCEED THE AMOUNT YOU HAVE PAID UNDER
THIS CONTRACT.
List of Documents to be Incorporated into the Contract: This Contract consists of the terms herein, any change
orders, and the following documents: (1) Work Order, (2) additional Costco terms and conditions if any provided
to you, (3) Payment Receipt, and (4) two Notice of Cancellation forms. In the case of inconsistency among any of
the documents listed above and the terms of this Contract, the terms of this Contract will control. These
documents constitute the entire understanding between the parties, and there are no verbal or written
understandings changing or modifying any of the terms of these documents.
Permissible Delays: Costco and Dealer may need to extend the approximate start and/or completion date due to
the following: local permitting or inspection delays; delays caused by pre-existing conditions or hazardous
conditions; inclement weather; acts of god; accidents; shortage of labor or materials; delay in receipt of product
from the manufacturer; damage to product during shipping; production errors by the manufacturer; additional
time required for change orders or additional work; your failure to provide Dealer with uninterrupted access to
the jobsite; delays caused by you; scheduling conflicts; and other delays unavoidable or beyond the control of
Costco or Dealer.
Pre-Existing Conditions: Costco and Dealer are not responsible for pre-existing conditions, including any non:
code compliant work performed by others. In the event It is determined by Costco or Dealer that this Contract
cannot be performed as intended by the parties due to, for example, unforeseen structural defects or
undiscovered pre-existing canditions to your property, Costco or Dealer may submit a change order to address
the additional work, costs and schedule changes that would be incurred to remedy such conditions, if possible
If you decline the change order or otherwise fail to remedy the pre-existing condition, Costco shall not continue
with the work, and shall cancel the contract. If the Contract is canceled, you agree to pay Costco the costs of
materials, labor and services provided through the date of cancellation.
Hazardous Conditions: You agree to inform Dealer in writing of the presence and location of any potentially
hazardous conditions at the project location prior to the start of work. In the event that Costco or Dealer
suspects existing or developing spore or mold growth, asbestos-containing materials or other potentially
hazardous conditions at the project location, Costco and the Dealer will stop work and will not attempt to test,
repair or remediate such conditions. At your sole expense, you must arrange to have the hazardous condition
tested, repaired and remediated by a third party in compliance with applicable laws within a reasonable period of
time, or Costco may cancel this Contract. if the Contract is canceled, you agree to pay Costco the costs of
materials, labor and services provided through the date of cancellation.
Interference with Performance: Costco reserves the right to cancel the Contract to the extent that either Dealer
‘or Costco reasonably determines that the project cannot be performed as intended by the parties due to site
changes or recommended site upgrades, the project cannot satisfy your expressed needs or preferences, you
Invivac 10/1/23) Copy to Member; Copy to Costco‘COSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT - PAGE 3
unreasonably interfere with the project, or Dealer encounters an unsafe, intimidating or offensive environment at
the property. If the Contract is canceled, you agree to pay Costco the costs of material, labor and services
provided through the date of cancellation,
Lead Paint: The U.S. EPA requires that all contractors use special lead-safe work practices to perform remodeling
work on houses built before 1978 where lead paint is present. If the remodeling work does not qualify for an
exemption, the area where the work will be performed must be tested for lead paint. You agree to pay Dealer or
a third party certified renovator a surcharge fee to perform the test, the cost to be agreed-upon prior fo the test.
If the test reveals lead paint, a certified renovator is required to use special lead-safe work practices to remove
the lead (the "Renovation”). If you wish to proceed with the Renovation, you agree to pay Dealer or a third party
certified renovator a lead paint surcharge fee, which will be calculated based on the size and scope of the
Renovation. If you do not proceed with the Renovation, Costco will cancel this Contract. If the Contract is
canceled, you agree to pay Costco the costs of materials, labor and services provided through the date of
cancellation.
Qwnership/Consent: You promise that either (1) you hold legal title to the property or (2) you have written
consent from each owner of the property for installation work to take place on the property.
Inpaid Amount: To the extent permitted by law, any unpaid amount due in connection with this Contract will
accrue interest in the amount of 1% per month. In the event any obligation arising under this Contract is referred
to or assigned to a collection agency for collection purposes, whether or not a lawsuit has been commenced, you
agree to pay all costs of collection, including, but not limited to, reasonable attorneys’ fees.
Lien Notice: Costco and Dealer may have a claim against you which may be enforced against your property under
applicable lien laws should you fail to pay all amounts due in connection with this Contract.
Credit Card/Financed Transactions: If you use a credit card or obtain financing to pay some or all of the Contract
Price, you acknowledge that the terms of your cardholder agreement or financing documents may increase the
total amount you must pay to the credit card provider or lender, including any interest charges and fees. You
further acknowledge that Costco is not a party to any such cardholder or financing agreements.
Credit, Rebates and Other Incentives: Government agencies, utilities and others may offer a variety of credits,
rebates and other incentives. Neither Costco nor Dealer is a party to such offers. Credits, rebates and other
incentive offers are subject to change or termination by the offeror. You agree that you are solely responsible for
completing any forms or applications associated with receiving such offers although Dealer may offer assistance
in completing such forms. You agree that Costco and Dealer shall bear no responsibility in the event such offers
(1) are not paid to you, (2) are paid in an amount that is less than or different from the amount expected, or (3)
are not paid ina timely manner.
Product Warranties: Terms and conditions of manufacturer warranties are the responsibility of the manufacturer,
not Costco. Please note that some manufacturer warranties may cover parts, but not labor costs for repairs.
Labor Warranties and Service: Dealer will offer a labor warranty of not less than one year from the date of
installation. All repair or replacement costs are your responsibility after the expiration of the warranty period. If
you choose to have alterations, maintenance, service, adjustments or repairs made to the product or component
by a third party at any time after installation, neither Costco nor Dealer is responsible for costs, defects or
damages resulting from such action. Costco will not replace or refund any product or component that has been
modified by a third party at any time after installation. Neither Costco nor Dealer will be responsible for
damages resulting from your failure to provide reasonable maintenance, improper handling and operation,
misuse or abuse or other occurrences beyond the control of Costco or Dealer.
Opportunity to Cure: You agree to notify Costco of any work you allege to be defective within 30 days of
discovery and within the applicable warranty period by calling Costco’s toll-free telephone number at
1-877-483-6226. You further agree to provide Costco and Dealer the opportunity to inspect the alleged defect
within a reasonable period of time after Costco receives notice. If Costco and Dealer determine that a valid claim
exists after inspection, you agree to allow Costco and Dealer to repair, reinstall, re-perform or refund the
purchase price, at Costco's option,
Photographs and Videos: You grant permission for Costco and/or Dealer to take photographs and videos of the
project site before, during and after completion of the work to document the progress. Such photographs and
videos will not be used for any marketing or promotional purposes.
INVHvAC 10/1/23) Copy to Member; Copy to CostcoCOSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT ~PAGE 4
Purchase Order Summary:
tem Number Description Price
Membership #: Sub Total
Applicable taxes will be charged when payment is processed. Tax
Member agrees and authorizes Costco to charge the credit or debit card provided. Total:
Your Project is eligible for a Costco Shop Card incentive in the amount of $
‘Your Shop Card will be processed AFTER you sign project completion paperwork, It can take up to 4-6 weeks to
receive your Shop Card.
Residential Construction Recovery Fund: Payment may be available from the Recovery Fund if you are damaged
financially by a project performed on your residence pursuant to a contract, Including construction, remodeling,
repair or other improvements, and the damage resulted from certain specified violations of Nevada law by a
contractor licensed in this State. To obtain information relating to the Recovery Fund and filing a claim for
recovery from the Recovery Fund, you may contact the State Contractors’ Board at the following locations:
State Contractors’ Board State Contractors’ Board
5390 Kietzke Lane, Suite 102 2310 Corporate Circle, Suite 200
Reno, Nevada 89511 Henderson, Nevada 89074
Telephone No.: (775) 688-1141 Telephone No.: (702) 486-1100
Informational Form Regarding Contractors: Contractors are required by law to be licensed and regulated by the
State Contractors’ Board. The State Contractors’ Board has jurisdiction to investigate complaints that are filed
against contractors. Any questions concerning a contractor may be referred to the State Contractors’ Board at:
(1) 5390 Kietzke Lane 2) 2310 Corporate Circle
Suite 102 Suite 200
Reno, Nevada 89511 Henderson, Nevada 89074
(775) 688-1141; or (702) 486-1100.
‘The law of this State requires that a person or entity who enters into a contract to perform construction work be
properly licensed by the State Contractors’ Board for the category of work that the person or entity intends to
perform. Laws regulating licensed contractors are designed to protect the public. If you contract with a person or
entity who is not licensed to perform construction work, your remedies against that person or entity may be
limited to a suit in civil court. You may be liable for damages arising out of any Injuries to an unlicensed
contractor or that contractor's employees, as well as withholding taxes, contributions pursuant to the Federal
Insurance Contributions Act and contributions for industrial insurance and unemployment compensation. In
addition, you must comply with other applicable state and federal laws regarding employment. Finally, you
should be aware that construction performed on your property must comply with all applicable laws, ordinances,
building codes and regulations.
A contractor is required to include his license number on all of his advertising, vehicles, bids and contracts. You
‘may contact the State Contractors’ Board to find out if a contractor has a valid license and, if so, the status of
that license and the status of any disciplinary action by visiting the website of the Board at
http://www.nvcontractorsboard.com or calling the Board at one of the telephone numbers listed above.
[wvevac 10/1/23) Copy to Member; Copy to CosteoCOSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT ~ PAGE 5
NOTICE TO OWNER: Pursuant to NRS 108.221 to 108.246, inclusive, a contractor, subcontractor, laborer,
supplier of materials or other person or entity who:
(1) Performs work or furnishes materials of the value of $500.00 or more to improve the value of your
property; and
(2) Is not paid for the work or materials,
has a right to place a lien on your property on which the work was performed and to sue you in court to obtain
payment.
This means that after a court hearing, your property could be sold by an officer of the court and the proceeds of
the sale used to satisfy the amount you owe. If you did not ask for and receive releases of liens from the
contractors’ subcontractors, laborers or suppliers of materials, a lien may be placed on your property or you may
be sued even if you have paid your contractor in full.
To preserve their right to file a claim or lien against your property, certain claimants, such as subcontractors,
laborers and suppliers of materials, are each required to provide you with a document called a “preliminary or
pre-lien notice." A preliminary or pre-lien notice is not a lien against your property. Its purpose Is to notify you
regarding persons or entities who may have a right to file a lien or claim against your property if they are not
paid. To perfect their lien rights, contractors, subcontractors, laborers and suppliers of materials must file
mechanics’ liens with the county recorder, which then become recorded liens against your property. Generally,
the maximum time allowed for filing a mechanics’ lien against your property is 90 days after substantial
completion of your project.
TO ENSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY, YOU MAY WISH TO TAKE ONE OR MORE OF
‘THE FOLLOWING STEPS:
(1) Request that_your contractor supply you with a_payment_and performance bond, which guarantees
‘completion of your project and payment of the subcontractors, laborers and suppliers of materials who
work on the project. This payment and performance bond is different from the surety bond that a
contractor must file for licensure pursuant to NRS 624.270. A payment and performance bond provides
that if the contractor does not complete the project, the bonding company will pay damages up to the
amount of the bond, This payment and performance bond, as well as a copy of the construction contract,
should be filed with the county recorder for your further protection. There is a fee for a payment and
performance bond. This fee is usually equal to between | and 6 percent of the amount of the contract,
depending on the ability of the contractor to be bonded,
(2) Require that payments be made directly to subcontractors, laborers and suppliers of materials through a
mechanism that controls payment for construction. In the area in which you live, services to control the
funding of your project may be available, for a fee, to control payment of your contractor by the use of
vouchers or other means. These services may also provide you with waivers of liens and other forms of
protection.
@) Issue joint checks for payment, made payable to both your contractor and the subcontractors, laborers
and suppliers of materials who were involved in the project or portion of the project for which payment is
due and who sent a preliminary or pre-lien notice to you. Those persons or entities have indicated that
they may have the right to place a lien on your property, and therefore you need to protect yourself.
Making checks jointly payable will help to ensure that all persons due payment are actually paid
(4) Require your contractor to provide you with unconditional ‘waiver and release” (lien release) forms so that
when you make a payment on any completed phase of your project, each subcontractor, laborer and
supplier of materials involved in that portion of the work for which the payment was made can sign the
waiver and release forms. This protects you from liability to them for work for which they have already
been paid.
Some stationery stores sell waiver and release forms if your contractor does not have them. The
subcontractors, laborers and suppliers of materials from whom you obtain releases should be those
Invivac 10/1/23], Copy to Member; Copy to Costco(COSTCO SPECIAL ORDER HOME IMPROVEMENT SALES CONTRACT - PAGE 6
persons or entities who have filed preliminary or pre-lien notices with you. If you are not certain
which subcontractors, laborers and suppliers of materials are working on your project, you may
obtain a list from your contractor. In regard to projects involving improvements to a single-family
residence or a duplex owned by an individual, the persons signing these releases lose their right to
file a mechanics’ lien against your property. In regard to other types of projects, obtaining such
releases may still be important, but may not provide complete protection.
If by use of a waiver and rel TY i
laborers _and suppliers of materials who work on your project sign a waiver and release form. If 2
mechanics’ lien has already been filed against your property, in most cases the lien can only be
released voluntarily by a recorded “release of mechanics’ lien,” which is signed by the person or entity
that filed the mechanics’ lien against your property. However, if the person or entity that filed the lien
fails to bring an action to enforce the lien in a timely manner, the lien may be removed without
voluntary action on the part of that person or entity. You should not make final payment on your
project until all mechanics’ liens that are filed against your property have been removed.
TO PROTECT YOURSELF FULLY, YOU SHOULD CONSULT AN ATTORNEY:
(1) BEFORE YOU SIGN A CONSTRUCTION CONTRACT; OR
(2) IF A LIEN IS FILED AGAINST YOUR PROPERTY.
Inviwvac 10/1/23] Copy to Member; Copy to CostcoDate: 03/12/24.
Customer Name: ALEXANDER
Address:
Work Order
Page i
Heating Options
4, LennoxEL297UHO70XV36B_2 STAGE VAR SPD _ heating system. $9,727.00
70,000 _BTu/Hr capacity at up to97% AFUE efficiency.
2. LennoxML196UHO70XE368__1 STAGE heating system. $8,994.00
70,000 BTU/HR capacity at up to 96% AFUE efficiency.
3. Lennox heating system. $
BTU/HR capacity at up to, AFUE efficiency.
‘Cooling Options
1. Lennox EL17XC1-030-230 air conditioning system. $10,343.00
25 ton capacity at up to 17 SEER 2.
2, LennoxML17XC1-030-230 air conditioning sytem, $_8:935.00
25 7
ton capacity at up to SEER 2.
3. Lennox, air conditioning system. $.
ton capacity at up to SEER 2.
Warranty
110 yeartimited warranty onal parss___9
», Lifetime
EME
3, 10 year limited warranty on air conditioning compressor.
‘year labor warranty
ar limited warranty on furnace heat exchanger
‘Accessories and Options
i s.
8,
8,
4, s.
5, 8
‘TOTAL INVESTMENT: 5Work Order
Page 2
Inclusions:
Gas Piping Connections _[W]_ Permit 1 etectrical connections _|Y’
Carbon Monoxide Detectors |W} Thermostat WW} Flue Connections iv.
Equpmentospesat |W] sates tax AAT concrete Pas 4]
Reftigerant Recovery 1) condensate Drain WH} control wiring
‘Smoke Detectors __ Refrigerant Line Replacement _
Exclusions (Unless Specified Above);
1. Modifications to existing duct systems 8
2. Electrical wiring modifications 9.
3. Gas piping modifications 10,
4. Asbestos, lead, mold testing or removal 11,
5. Patching and framing 12,
6, Replacement of existing lineset 13.
2 _ 14,
Notes:
-This proposal does not guarantee performance of existing duct systems or equipment will
not correct existing problems associated with improper design or poor conditions of
‘equipment or duct systems.
-This proposal does not guarantee temperature consistency between rooms/floors.
Member understands installation of the proposed equipment on multi story
homes/structures still may experience up to 20°F higher temperature on second/upper
floor areas.
COSTCO SHOP CARD---10%
EXECUTIVE MEMBER--—-2% (IF APPLICABLE)
COSTCO VISA-~---2% (IF APPLICABLE)Work Order
Page 3
All products, services and/or representations of performance and/or outcome promised to me (verbally or in
writing) are listed in the Work Order. Initial
By signing below, you acknowledge that you have read and approve the Work Order.
Signature of Customer. Date,
Print Name of Customer
Signature of Installer’s Representative on Costco's Behalf:
Print Name of Installer’s Representative: TROY WILCOX Date 03/12/2024
Residential Construction Recovery Fund — Payment may be available from the recovery fund if you are
damaged financially by a project performed on yaur residence pursuant to a contract, Including
construction, remodeling, repair or other improvements, and the damage resulted from certain specified
Violations of Nevada law by a contractor licensed in this State, To obtain information related to the
Recovery Fund and fling a claim for recovery from the Recovery Fund, you may contact the State
Contractors’ Board at the following locations:
‘State Contractors’ Board State Contractors’ Board
5390 Kietzke Lane, Suite 102 2310 Corporate Circle, Suite 200
Reno, Nevada 89511 Henderson, Nevada 89704
(75) 688-1141 (702) 486-1100Sra onpen
NOTICE OF CANCELLATION
3/12/2024
Date of Transaction
You may CANCEL this transaetion, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date.
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument
executed by you will be returned within TEN BUSINESS DAYS following receipt by the seller of your cancellation notice, and
any security interest arising out ofthe transaction will be cancelled.
AF you cancel, you must make available fo the seller at your residence, in substantially as good condition as when received, any
‘goods delivered to you under this contract or sale, or you may, if you wish, comply with the instructions of the seller regarding
the return shipment of the goods at the seller's expense and risk.
Ifyou do make the goods available to the seller and the seller does not pick them up within 20 days of the date of your Notice of
‘Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the
seller, or if you agree to return the goods to the seller and fail (0 do so, then you remain liable for performance of all obligations
under the contract.
‘To cancel this transaction, mail or deliver a signed and dated copy of this Cancellation Notice or any ather written notice, or send
a telegram, to COSTCO WHOLESALE at 999 Lake Drive, Issaquah, WA 98027, Attu.: Special Order, NOT LATER THAN
MIDNIGHT OF (Insert Date). You may also cancel no later than the date above by faxing a signed
and dated copy of this Cancellation Notice to Costco at 425-427-7269 or emailing a copy to Costeo at installeancel@costeo.com.
‘TO BE COMPLETED BY DEALER ‘TO BE COMPLETED BY MEMBER
AT TIME CONTRACT IS SIGNED. AT TIME OF CANCELLATION
DO NOT SIGN BELOW UNLESS
YOU INTEND TO CANCEL THE TRANSACTION,
‘Type of Program
RHP Mechanical Systems I HEREBY CANCEL THIS TRANSACTION.
Dealer Company Name
‘Name of Member
[ead Number
Membership Number
‘Telephone Number
Date
Member's Signature
tone Two Copies to Member; Copy to Coston