Customer (hereinafter, "You") agree to complete all requested information, sign, and date and return this form immediately to Sonova Parking Services (hereinafter, "Sonova"), and agrees to and accepts the following terms and conditions:

Parking Facility Name: %%LocName%%

Account Name: %%AcctName%%

Billing Address: %%FullAddress%%

Phone: %%Phone%%

Email Address: %%PersonalEmail%%

Employer: __________________________________

Vehicle Information:   Lic. St: %%AutoLicenseSt%%   Lic. Plate: %%AutoLicense%%   Make: %%AutoMake%%   Color: %%AutoColor%%

Start Date: %%StartDate%%   Non-Reserved _____ / Reserved _____    Activation Fee: $10.00

1. Monthly Fee. A monthly license fee (inclusive if sales taxes, if applicable) is charged for each vehicle at the parking facility during each month. Sonova reserves the right to increase the monthly license fee, at any time, upon at least thirty (30) day advance notice.

2. Payment Terms. Monthly rate for parking is due and payable on or before the first (1st) day of each month, in advance without demand. If the monthly charge is not paid when due, the prevailing daily posted parking rate will be charged. No deductions or allowances from the monthly rate will be made for days you do not use the location. Parking commenced between the 1st and 14th will be charged the full monthly fee. Parking commenced between the 15th and end of the month will be charged one half of the monthly fee.

Customer Signature: Submitted online. Terms accepted.    Date: %%Date%%