Venue Placement Agreement

Complete the agreement details below

Contract Details

Venue Name *

Venue Location *

Net Revenue Share Percentage * A number between 1-100

Number of Power Bank Stations *

Number of Power Banks per Station *

Venue Payment Details

Bank account details for receiving revenue share payments

Bank Name *

Account Holder Name *

Routing Number (ABA) *

Account Number *

Referring Agent

Enter the referring agent details. We will confirm agent registration manually after signature.

Full Name *

Email Address *

Phone Number *

Venue Primary Contact

Name *

Position/Title *

Email Address *

Phone Number *

Alternative Contact Number (optional)

Technical/Facilities Contact

If different from Venue Primary Contact

Same as Venue Primary Contact

Agent Signature

Sign below as the referring agent to confirm the placement details

Signature *

Venue Authorized Signature

Venue representative signs below to confirm agreement

Name *

Title *

Signature *

Date of Execution * Format: DD/MM/YYYY

I have read and agree to the terms and conditions of the Power Bank Rental Venue Agreement, including the revenue share arrangement and all clauses outlined in the agreement. *