LEASE APPLICATION CHECKLIST

__ One Signature at the bottom of the Purchase Order

__ One Signature at the bottom of the Credit Application
__ 4 sets of Initials in the small yellow boxes and
Two Signatures at the bottom of the Lease Agreement
__ A copy of your voided check

Please fax your completed paperwork to (410)420-3621 or

scan and email it to ken.moss@kingdomphotobooth.com
 Kingdom Photo Booth LLC
Purchase Contract
15 E. Churchville Road, Suite 115-185, Bel Air, MD 21014
phone: (410)688-3552 fax: (410)420-3621
email: ken.moss@kingdomphotobooth.com
web: www.KingdomPhotoBooth.com

Sold To: Ship To:

_________________________________ ______________________________
_________________________________ ______________________________
_________________________________ ______________________________
phone and fax ____________________________________________________
email___________________________________________________________
Please circle if Kingdom is arranging SHIPPING or customer will PICK UP

Qty Item Net Due

_____ Photo King Deluxe Stary Night or White Satin @ $8,995 $_________
_____ Photo Printz Stary Night @ $7,995 $_________
_____ Photo Pixie @ $6,995 (circle black or white) $_________
_____ Photo Printz Wings and Curtains @ $595 $_________
_____ Photo King Expansion Plate @ $595 $_________
_____ King to Printz Conversion Kit (includes Wings/Curtains/Plate) @ $995 $_________
_____ Lighted LED Topper (Photo King Only) @$599 $_________

_____ Choose and initial your consumable kit plan:

___ Pay as you go @ $349 per box (2 initial boxes required)
___ One Kit per month auto-ship for 12 months @ $329 per box
___ One Kit per month auto-ship for 24 months @ $279 per box
___ One Kit per month auto-ship for 36 months @ $249 per box
[Kits include all licenses to operate the booth, auto-ship plans are
non-cancellable and will be billed to credit card on file each month] $_________

_____ Bill Acceptor @ $399 / Coin Acceptor @ $399 / CC Acceptor @$699 $_________
_____ Wi-fi Adapter @ $199 $_________
_____ Your Web Site Cut & Applied in Vinyl @ $199 for both sides $_________
_____ Custom Cordova Deluxe Covers @ $399 King / $499 2-Piece $_________
_____ Pixie Head Hard Case @$599 or Pixie Head Soft Case @$299 $_________
_____ Pixie Neck and Base Soft Cases @$399 $_________
_____ External Touch Screen Monitor @ $1,295 (King only) $_________
_____ Brass Stanchion Set (2 poles with 1 rope) @ $299, extra ropes @ $39 $_________
_____ Printer Trolley Road Case @ $399 $_________
_____ Freight in the continental USA @ $385 $_________
Total Amount of Purchase $_________

Total Amount ______________ / 24 monthly payments of ___________

First payments due today at signing

Credit Card#___________________________________________ exp.__________ CVV_____

X_________________________________________________________ ____________
Authorized Signer Date
THIS ORDER IS SUBJECT TO AND CONDITIONED UPON THE TERMS AND CONDITIONS CONTAINED
ON THE REVERSE SIDE (PAGE 2) OF THIS ORDER. BY SIGNING ABOVE, YOU ACKNOWLEDGE AND
ACCEPT THE TERMS AND CONDITIONS OF THIS CONTRACT.
form: 140115FF
 page 2

TERMSANDCONDITIONS

Kingdom Photo Booth LLC (“Company”) hereby agrees to provide to you (“Customer”) certain equipment, as more fully provided on page one
of this Purchase Contract, subject to and in consideration of the following terms and conditions (these “Terms”):

1. DEFINITIONS
1.1. The term Consumables refers to printer ink and paper, software license, the license to operate the booth, ongoing software updates and
customer and technical support.
1.2. “Electronic Component”s refers to the camera, touch screen, printer, computer and amplifier.
1.3 The term “Booth(s)” refers to any model photo booths sold, leased or offered by the Company.
1.4 The term “Equipment” refers to Photo Booths, Consumables and accessories including, but limited to, those on page one of this Purchase
Contract.

2. PAYMENT
2.1 A deposit of 25% via credit card is required to place a Booth order; the remaining balance must be paid prior to shipment to Customer.
This credit card information will be maintained by Kingdom Photo Booth LLC to pay for future Consumable orders. All booth and
consumable purchases are final. Orders are non-cancellable and deposits non-refundable. Any changes to this order after it is submitted
shall incur a $100 change fee per incident. Customer shall purchase a minimum of four consumable kits per calendar year for a period of
four years from the date of purchase not including initial purchase of kits on this Contract.
2.2 Consumables are proprietery and must be purchased from Kingdom Photo Booth LLC. If Customer has selected an auto-ship
consumable plan, one box of consumables will be automatically charged to the Customer’s credit card(s) on file and shipped on or about
the 1st day of each month. Customer may purchase additional boxes of consumables at any time at the same discounted rate but such
purchase shall not affect the remaining number of automatic monthly shipments which shall continue until the end of the period selected by
the Customer. Auto-ship programs are non-cancellable. However, if Customer fails to complete its obligation under such discounted auto-
ship program, Customer authorizes Company to charge the difference between the discounted price paid and the retail price of $349 for
each Kit already purchased and shipped under the auto-ship program plus an early cancellation fee of $295 to Customer’s card on file as
an early cancellation fee.
2.3 All Equipment shipped FOB Forest Hill, Maryland.
2.4 Customer must pay balance within ten days of being notified that their booth is ready to ship or incur a $50 per day storage fee.

3. WARRANTY
3.1 All Booths come with a one year warranty on electronic components, and a three year warranty on the computer and touch screen.
Defects or failures caused by obvious mistreatment or neglect, as solely determined by Kingdom Photo Booth LLC, shall be repaired,
serviced or replaced at Customer’s expense. Any Mechanical, hardware or software changes made to the booth whatsoever shall void all
warranties, however doing so shall not release Customer from any obligation under this Contract.

3.2 THE FOREGOINGWARRANTIESARE INLIEU OFALLOTHERWARRANTIES EXPRESS OR IMPLIED, INCLUDING, BUTNOTLIMITEDTO,

THOSE CONCERNING MERCHANTABILITYANDFITNESS FORAPARTICULAR PURPOSE, ITBEINGAGREEDTHATALLSUCH RISKSAS
BETWEENCOMPANYANDCUSTOMERARETOBEBORNEBYCUSTOMERWHETHERORNOTSUCHEQUIPMENTISOPERATEDUNDER
COMPANY’S SUPERVISIONANDALLSUCH EQUIPMENTIS HEREBYACCEPTED BYCUSTOMER “AS IS.”

3.3 COMPANYSHALLNOT BE RESPONSIBLE FORANYINCIDENTALOR CONSEQUENTIALDAMAGES OFANYKIND, INCLUDING BUT NOT

LIMITEDTOLOSSOFREVENUE,PROFITSORANTICIPATEDPROFITS,LOSSOFBUSINESSOPPORTUNITY,LOSSOFPRODUCTION,
DAMAGES FOR FAILURETO MEET DEADLINES, OR LOSS OF USE, ORANYOTHERTANGIBLE OR INTANGIBLE CLAIMS OF LOSS.

4. MISCELLANEOUS
4.1 Customer may not assign or transfer any rights, duties, or obligations under these Terms without the prior written consent of Company.
However Customer may sell and thereby transfer this contract to any qualified buyer, subject to a transfer document that shall be provided
by Company.

4.2 Neither Kingdom Photo Booth LLC nor any of its employees, owners or directors guarantee any level of income whatsoever to buyer from
its purchases nor the appropriateness or merchantability of the booth for any specific application or use and shall not be liable for any actual,
special, consequential or other damages whatsover.

4.3 Under no circumstances shall Customer market or operate the photo booth referenced in this purchase order in the state of Maryland,
Washington state or within 75 miles of Raleigh, North Carolina or 40 miles of Orlando, Florida without the expressed written consent of
Company. Customer’s failure to comply with this condition will result in the cancellation of its license to further operate said booth.

4.4 These Terms shall be governed by and construed in accordance with the laws of the State of Maryland. Any action or proceeding
seeking to enforce any provision of, or based on any right arising out of, these Terms may be brought against either of the parties in the
courts of Harford County, State of Maryland or, if it has or can acquire jurisdiction, in the United States District Court for the District of
Maryland, and each party consents to the jurisdiction of such courts in any such action or proceeding and waives any objection to
personal jurisdiction or venue therein.
 Five Star Lease Application &

Leasing Corp.
Credit Check Authorization

BUSINESS INFORMATION
Business How long under
Name current ownership?

Business How long at

Address this address?

Line of Phone
Business

Ownership: _ Proprietorship _ Partnership _ Corporation _ L.L.C. _ Non-profit

Federal Tax ID #:

PRINCIPAL INFORMATION
Name of Principles/Titles Social Security # Date of Birth

Home Address and Phone

TRADE REFERENCES
Company Name Contact Phone No. Address

#1

#2

#3

Landlord:

BANK ACCOUNT AND LOAN REFERENCES

Bank Name Contact Phone No. Account No.

#1

#2

EXISTING BUSINESS
How many coin-op machines do you currently own and operate?_______________ Photo Booths?________________
Annual gross sales:_____________________________? Total locations in which you operate?__________________

I authorize Five Star Leasing Corp. or its designated leasing partners and other data suppliers to obtain such information as it may require
concerning the statements contained in this application, including credit reports and/or criminal background checks on those listed above,
and agree that the application shall remain your property, whether or not the lease is approved and/or consummated. I further authorize
and instruct any of the trade or bank references listed above to provide Five Star Leasing Corp. or its designees with any information it
may require to process this application.

Date__________________ Signature________________________________________________________________
 NON-CANCELLABLE EQUIPMENT LEASE AGREEMENT
 FIVE STAR LEASING CORPORATION 
This lease agreement is for the sole purpose of creating a non-cancellable lease between Lessee as named below and Five Star Leasing
Corporation (Lessor) at 15 Churchville Road Suite 115-185 in Bel Air, MD 21014.

Lessee: ___Sole Prop __ Partnership __Corporation __LLC

Payment Information
Lessee
First payment of $__________due at
Legal Name
Billing signing plus
Address
City, State, ZIP
basic periodic lease payments of
Telephone $_________per month for 23
Number additional months
Social Security Number of Guarantor
plus any applicable taxes and damage waiver.
All payments shall be electronically debited from Lessee's current
or future checking account(s)

Equipment: Serial Number

___ Photo Pixie Booth
___ Photo Printz Booth
___ Photo King Booth

Term. This non-cancellable lease shall remain in effect for a period of 24 months from the date set forth on this agreement. At the end of the lease, Lessee
has the following options - 1)return the equipment to Lessor; 2)purchase the equipment for $1.00; If Lessee does not notify Lessor of option at least 60
days in advance of expiration, option 2 shall be deemed to be chosen.
Please Initial In Each Box

This lease is NON-CANCELLABLE.

The basic periodic payment is $___________ for 24 total payments.

This lease is a binding agreement between the Lessee and Five Star Leasing Corporation. No verbal
or written alteration of this LeaseAgreement shall be valid or accepted.

I have personally guaranteed the obligations of this LeaseAgreement.

Lessee represents that the equipment in this lease is for business and/or professional purposes and agrees that under no circumstances
shall this lease be construed as a consumer contract. To induce Lessor to enter into this lease, Principal/Guarantor personally guarantees
all of the obligations of this lease. Lessor shall not be required to proceed against Lessee, Principal/Guarantor, or the equipment to enforce
any of the rights herein. This is a continuing guarantee. Principal's and Guarantor's signatures acknowledge that both persons have read
and understand BOTH SIDES of this Agreement and agree to be bound by its terms and conditions.

X___________________________________ X____________________________________
Principal's Signature Guarantor's Signature (no title allowed)
Title__________________ Date___________ Date________
Principal Personal Guarantor
Legal Name Legal Name
Home Home
Address Address
City, State, ZIP City, State, ZIP

Telephone Telephone
Number Number
Social Security Number Social Security Number

I HEREBY AUTHORIZE FIVE STAR LEASING CORPORATION OR THEIR AFFILIATES TO

AUTOMATICALLY DEBIT ANY OF MY BUSINESS CHECKING ACCOUNTS OR CREDIT
CARDS, CURRENT OR FUTURE, FOR ALL MONIES DUE UNDER THIS LEASE. I MUST
PROVIDE A VOIDED CHECK TO INITIATE THIS LEASE. THE CURRENT ACCOUNT IS:
Bank Name_____________ Routing Number______________ Account Number________________
All lease payments are paid in advance, not in arrears of the time for which they are paid.

Indemnity & Insurance. Lessee agrees to indemnify and hold harmless and claims, actions, proceedings, expenses, damages,
and liabilities, including attorney’s fees arising in connection with the equipment including without limitation, its manufacture,
selection, purchase, deliver, possession, use, operation or return. Lessee will present in writing to the Lessor a copy from a
legitimate agency of any insurance binder or policy covering the leased equipment and naming Lessor as a loss payee. If
Lessee does not provide such binder or policy within 45 days of the origination of this lease, Lessor reserves the right to
charge Lessee a noncompliance charge equal to 10% of the monthly lease payment that shall be added to the monthly
payment collected from Lessee. Said noncompliance charge shall not release Lessee from any Lease Payment Obligation or
liability for the equipment and shall not serve to insure the equipment. Lessee is responsible for any and all damage to said
equipment and for the replacement costs thereof (and any deductibles from Lessee's insurance company) whether or not
insured by Lessee's insurance. Destruction, theft, or any other incapacitation of the equipment shall not relieve Lessee of
any responsibilities contained in this Lease.

ACH Reject & Ownership. If lessee fails to meet any financial obligations herein contained, s/he shall be in default of this
lease. Lessee will pay all collection costs including reasonable attorney’s fees, sheriffs, court costs, travel time, freight,
etcetera. If a debit under the lease is declined for any reason, Lessee shall be charged a $25.00 penalty in addition to the lease
payment. The equipment shall remain at all times property of the Lessor, and Lessee shall have no right of ownership to the
equipment. Lessee will not allow any lien, charge, or encumbrance against equipment while in the possession of Lessee.

Default. If Lessee defaults, Lessor has the immediate right to 1) terminate this agreement without notice; 2) require the
immediate payment of the full value of the lease by certified funds; 3) enter my premises and take possession of the
equipment at the Lessee’s expense; 4) charge me any amount necessary to return the equipment to working order in case of
damage; 5) continue to automatically debit my business checking account(s) or bill me additional monthly lease payments
until the default is cured; 6) place a lien against and/or garnish my business and/or personal wages, income, real estate,
interest, or other revenue I am entitled to. A penalty of 15% of the late payment shall be added to the principal balance each
month the payment is past due.

Merchantability & Jurisdiction. Lessor makes no representation as to the suitability of equipment for any use whatsoever.
Lessee has selected the equipment and requested the Lessor purchase the equipment for the Lessee to use as it sees fit.
Lessee acknowledges receipt of the equipment in good working order. Lessor is not the manufacturer or the manufacturer's
agent. Lessor does not warrant or guarantee the equipment in any way, shape or form and Lessee is responsible for all
payments regardless of the disposition, condition or use of the equipment after it leaves the factory F.O.B. Maryland. This
agreement is created and governed by the laws of the state of Maryland. Any proceedings necessary as a result of this
contract shall take place in a Harford County, Maryland venue and the parties submit to the jurisdiction of the District Court
thereof. Lessee waives all rights to a trial by jury and agrees to appear only in front of the court. Any and all of Lessor's
expenses, including attorney's fees, collection costs, interest, etc. shall be the sole responsibility of Lessee and are to
become part of any judgement found against the Lessee.