Residential Job Sign Off

I acknowledge that I have received, in perfect condition, all products and services from Auxe, via an independent contractor representing Auxe Inc., as per arrangements made with myself and Auxe Inc.

I acknowledge these goods and services were received without any defect and without damage to my home, business, property, or injury to any persons.

I acknowledge that the placement and location the products/devices were installed was agreed upon by myself, the owner (or authorized representative) of this location. I acknowledge that all services have been completed in full and that I will not ask for a refund or chargeback unless the service does not follow Auxe's return policy and installation guarantee.
Technician Name*
Date*

MonthDayYear
Photos Of Completed Job
Television BEFORE It Is Mounted Showing No Cracks*

Browse Files

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Bracket on Wall (Close-Up with Washers/Bolts Visible) With Level (Showing Leveled)*

Browse Files

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Television Installed and Turned ON (Wide Angle, Floor Included)*

Browse Files

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Television Installed and Turned OFF (Close Up, No Scratches or Fingerprints)*

Browse Files

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Client Address*

Street Address, City and Postal Code

Street Address Line 2

Postal CodeState / Province

Postal / Zip Code
Client Name*
Client Signature*

Clear
Client Acknowledgement*

I hereby agree to the terms and conditions above
Should be Empty: