iPad Order Form

* You must have pending payroll before you can request an iPad.
Your Name: Your Name: First Last
Your Manager
Phone Phone - ### - ### ####
Provider is through AT&T.
If you need another provider, check this box.

If you need another provider, check this box.
Name of Provider:
Email
Shipping Address Shipping Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Notes
iPad Promissory Note:

Equipment: Clear Home agrees to purchase (1) one iPad mini with WiFi & cellular capability for the Contractor listed on this form. Clear Home will not provide any WiFi or cellular data plans. The Contractor submitting this form will be personally responsible for any account setup and fees associated with WiFi & cellular plans.

Repayment: By submitting this form, you agree to pay Clear Home for the full cost of the iPad up to $400. Clear Home does it’s best to negotiate the lowest possible price on iPads. The cost of the iPad will be deducted from your weekly commission payroll. Clear Home reserves the right to withhold any future commissions until the iPad is paid in full, in the event you cancel your contract with Clear Home.

Manager Risk: Manger agrees to be responsible for payment of iPad if Contractor does not meet the terms listed above or contract with Clear Home is terminated before repayment is completed. Any remaining balance will be deducted from Regional budget, as a first resort and may be taken out of Manger/Regional Manager back end account.
I understand the details provided in the iPad Promissory Note.

I understand the details provided in the iPad Promissory Note.

iPad Order Form

iPad Order Form

* You must have pending payroll before you can request an iPad.

Provider is through AT&T.

iPad Promissory Note: