|
itlb IvleUU I'Iiice 5uulli
<br />? nCCUUriia
<br />- - -
<br />ZZer?tech
<br />. SUile 500 409894 ?
<br />Dublin, Ohlo 43017 _--_-----
<br />SERVICE AGREEMENT/PAGING EQUIPMEN T LEASE SALF.S IF.RtlllOfiv
<br />Ametiiech hereby ngrees lo Iwnish, nnd Ihe undersigned Su6scriber hereby agrees lo accepl, up(in and suhIec
<br />one-and Iwo-way paging servlce and/or communlcelions equlpmenl described as lollows: l lo Ihe Ienns 'rind condilions sel Imih on Ihn ievme?.
<br />
<br />CUSTOMEq NAME SERVICE ADURESS Af1
<br />I I EA COUF I IOIdE
<br />rI I I
<br />I PI IOWE
<br />
<br />I I I I
<br />'/ A
<br />"Otz??? L j
<br />AR EA CODE WOfll(
<br />- PIiUNE
<br />.
<br />SIREETADDf1E55 ! ?
<br />?
<br />?
<br />J/ APT. .?
<br />,
<br />_ VN.?? /? PURCHASE Of7UER p
<br />CIiY 51ATE 2//1P Tnx io a
<br />URIVERSLICENSE
<br />CONTACT TITLE ? . SOC SEC H
<br />? ? ooa _
<br /> nereneNCen
<br />BILLING ADDRESS (11 dlllerent from above) I DISCONNECT FiEASUN:
<br />STFlEETADDflESS
<br />APL q
<br />CITY STATE ZIP '
<br />CONiACi iITLE
<br />? SPECIAL BILLIIJG 931 ONLY
<br />I ' OTR ' S/A ANNUAL
<br />OFFICE USE ONLY
<br />. 12 11 20 2 IIJITIAIS
<br />BIllIN6 SIART DATE: '
<br />I AUU SERVICE fJ NEW SERVICE I UPGRADE ?11ENEWAUf1ERAlE EXCHANGE
<br />AREA / -
<br />OLD
<br />CODE PAGER/AVMA/PINA
<br />RAIE
<br />rvCYV l.Hl
<br />717 ??/ `
<br />DI SCONNECTD
<br />EOUIPMENf
<br />TYPE AIE
<br />NEW
<br />Sf1ATE
<br /> ? t??? : ?
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />-- SEAVICES OP110NS PAYMENTS
<br />ff1E0UENCY L: 152 931 I STATEWIDE ISTMONTHINAOVATJCE
<br />? )Vf1ENiAL ? - I.- ADDITIONALSTAlES " ?tASTMONiHPREPAYMENT
<br />.. ,., , . , .
<br />C COAM PAGER?CONNECIi9N FEE
<br />COAM PRO L INDIANA . - . ?" .., .
<br />EQUIf!AdEF?i DEPOSK
<br />C-SKYPAGEFi ?.: WISCONSIN ??ftjt7lhli7ENTLOSSDEDUCiIBLE
<br />nENTAL tLuNbis _ ,,.... ._ , .
<br />Y ??E?OUIPMENT PURCHASE
<br />I_ COAM MICHIGAN
<br />. . ? MISSOURI ? . : ' ...
<br />? I' FIEGIONAL ' .•i ?.°; '.. ?5l11E51AX
<br />'I ..'MINNESOTA .:.7. , . ;.. -
<br />' (; NATIONAI i..;?pTfIER TOi11LDUE ,
<br />' I._' CALL LIMIT
<br />VOICEMAIL ?TbTAI RECEIVEb ?
<br />? ?. .;,. ..,. .
<br />? C: 1-800 SERVICE PROVIDED BY SKYTEL i"'?EXECUiIVE PACKAGE . ? j" . CNE` CK d ' CASH
<br />PPOMO OR SPECIAL OFFEA: ' I : STANDARD P/fCKAGE DEPOSIiED
<br />. " v I . MESSAGE EXPRESS MONEY O(iDEA d "
<br />PAOER PR07fGTION PL91NS ?Cf1E01T'CATIU . '
<br />FIEFEFIRALACCTA MO._,?Difi? ?".YRLY ApppOVAIW.-
<br />i . . . . . ?. ,
<br />. ... . '.,` , .. ,.
<br />, NAME PAGEFl IdAWTENANC.E PLAN., .
<br />ACCTp
<br />. „ '. OfNER- .- f. . ... ...i,_V : . ? •
<br />. . . .. . . ? ? ?EXPIADATE
<br />? ., ? r a Gisa OcAi3o .= ' oiscoveR
<br />,.n.
<br />' LENGTH OF CONTAAC7 t YEAp 2..YEA?i3
<br />This wriling when gigned by Ilie Subscriber and accepled by ai,
<br />aulhor@icqiepresenlallv'e ol ni?er?le??3f?eN.hecmae a vnLd aad bind'm. p cb dilcl'behveen Vfie
<br />Subscilber andArimediech, and subscdbec.agrees to pny al7 cosl; IiMJiiding aRq m ry mid/a ?of,leciion-lees h,curred li' any and aI1 ii iqunisr, st duA ?n,dr,
<br />Ihls conlrecleor recovedng equipmeiil.delivered;ip?$utiscr?ber lfiis wriilnq;piidll1e lemic iliWiS`oli ?e r eise side: g,. senls;Nl leimc and condil(rnia ol
<br />Ihg?bgieemeM belween Ihe said pedies end no olber waiiaRlies &piess or imp)iqii, arg m,??e
<br />Acceflgd By Amerilech (P . ; AME)' ?? CuelOP?eI'
<br />? ?f ?? --,---- 1 -
<br />Rep Name Cqsbmer.rAIIVT NAMEOate _
<br />!
<br />Agent Nomei:
<br />. . ,, . ... . ._ _ ? . Compaiiy (P(71Ni) Dale . .
<br />. . , ... . . ,.??n . __._
<br />Agent Phone: ITS ..? / n?C,, Dale
<br />Solespe!son Number. ?BY?(PpINT NAME) (?7/?Uezs'91?sw\ pale
<br />'WHITE: Nldln'Ollice Guslomer Flte Copy YELIOW. Salas Adminlslralion'Cohv' PfNK:Cuslomar rn?? .
<br />.. . ?. . .. . , .,. : :-.• ' :. R?/ " .
<br />" ..?.? Il?..,.,...?,.. .. '
|