Agreement Termination Checklist
To be completed just prior to voluntary lease termination

TASK

Yes/No

Reason for pick-up -
Past Due Rent  -
Length of agreement (in weeks) -
Was Customer offered extension -
Customer found better deal -
Customer dissatisfied with service -
Customer dissatisfied with merchandise -
Was Customer offered a replacement -
All merchandise recovered in good condition -
Customer given coupon for next rental -
Follow-up phone call made after pickup -
NOTES: -