Laserfiche WebLink
<br /> <br /> Welcome to United .States .C ellular®! <br /> <br /> '52647 <br /> CUSTOMER INFORMATION ? Individual ? Business <br /> Nam. ofmd'I'diaal Snoopers <br /> r/R~'espa'rs/rbl^~[/I~O/,1~'/eel P~a'/y/~rL1In/elno/(Please 1ing,Y Employer Veen employe" <br /> ~ SI !'~j [ •J~- - ~3J/A~ - ) 1+ src a saanN Numrrnr. Date of emn <br /> u..t Aedrea.o R. o .Pa -D M.r u:.Pao in tllvidual <br /> 1 or.,er~LCenae rvmmb.r am, San' <br /> all, smno etness under present Meg ms <br /> )CO, J Sole Prep ,mas, Yee" n W <br /> Impirtem, JIsrrnersnp I Ghwo mem <br /> Lb <br /> T lRmz ra _~liJ/I/~ _ payment <br /> Contact Gonlect Y. <br /> ' p~na° Business <br /> rmmeP re tsle tl_ <br /> _ / tax ExomPl J Yes ay.5. allaGr ceNlrrvle Exempt Conill <br /> _ ACCOUNT INFORMATION <br /> Leer <br /> Jeer Nam. mee~ Cey slate zee Phone x <br /> M.el to ln2alpnl an 1 r,r: !r. c; Cly Seale 2rp Bel claso,Per.: <br /> u1 fAer4ol Name G y 'I nv . g I Ileve ue'+ Lead source Referred by J Aceor <br /> r ~AJ vIM1 J ,Y,.s J <br /> J No - - J Noc MIN <br /> ~AZoumx Aa rz(o Oale r e,tu,I Credit Class Depose Am.unl Cellrlar Phonex <br /> <br /> EQUIPMENT INFORMATION <br /> ~MFIY'RIODFL J ESN M;N llnll OCH I:ORF Pl1RCt, COE DEM REMAL Oit1ER WARR PERIOD LOC SITF EOTVPE PRICE <br /> IvPr_ Pn CE ACCESSOnY pESCRIPnON CITY TON SITE CO TVPE °RICI <br /> ' <br /> ACCE9°ORV DESCRIPnON L - I 'I l <br /> 1I <br /> 1 I i 9 <br /> 2 4 <br /> SERVICE INFORMATION AND CHARGES <br /> / t A"cr." apl "Sen. <br /> MONTHLY CHARGES AI PNCF WgHi"LI CHINITIALAR9E CHARGES Ojai pi~nn^ Pi's nsur <br /> ONTHL'S VECEP~YNr(AGIF <br /> onthly <br /> 'ro IHSFRO"1FD S P p Oc <br /> Iol eoi cmMINUTES NLIIEU'N PLAN <br /> -AH 7fr M IA Fall ES JMOb Ie $'95 30 5:5 <br /> .JSrCL1 CALL114 f-"J~TVRE9 ICII"LE ACiI/eCN CL \r F JIn-n-Trenslwn,ble Si eS SJS an <br /> wn In.e ',I IRIIYI F C_ asset es S ns =as ses <br /> U6CALL rOnNARDINr: A/AYCAILiNra L{"Al T Y., he <br /> `.EIAII ;D RILLINfr \ r. f41F`I ne r)rr-ll AFl.F inn~.el Is- I'm xr. <br /> ItSSAGE ENTER rNi IIA i[`II!ilall,'F _ _ <br /> I" I- I; E <br /> -IIPI.IFI`i N:•VrAN(:1 r•].'.F rr I r1 F-. _..I11-1 nr'mnw LOrv .m~ r.a <br /> Nil 11 1 1 <br /> - -n Ar ' nr, aI F u oFZ', L rf .:iFL r., ,,r II, - <br /> En.eF r .re TL 'I '..An .E~ <br /> SERVICE AGREEMENT <br /> ANNUAL AGREEMENT <br /> i <br /> (a) Term. The charges for cr~luEerv'c a sp pled I c'n q fo tl~ Cor p ny ~r e'ng to lion any increase in these rates as explained below. YYou agree to maintain cellular serv ce o'. <br /> :his Agreement for a term of I mono (cost mar- L al I TERM PLAN I/ <br /> . <br /> (b) Rates The Company will notify You in writing at lea 30 day, nr ~r t nst'tL t y{}arry nc se in charges for cellular service During this 30 -day period, and before the new rates become effective <br /> may terminate this Agreement by mat,ing the Company. In wr r . "turd nient'o I to do an TPrminat'on during this 30 day period is not subject to the provisions of Section (C) of this Agreement If <br /> do nor terminate this Agreement during such 30 tlay period In this mall", the TERM PLAN Poll remain in effect, <br /> ct Tennina true. If You have selected the TERM PLAN. Your may terrrlnate IN, Agreement at the end of the INITIAL TERM (as at farm above) by notifying the Companyin writing of Your intention o. <br /> o at least 30 days prior to the expiration of the INITIAL TERM You acknowledge that any Party teuninat'mn of this Agreement during the INITIAL TERMjtding, but not limited to, a terrinume, <br /> the Company as provided in Paragraph don the reverse side hereof. will damage the CFO I N on amount that is difficult to determine, but that 5 represents a reasonable estimate <br /> Company's damages You agree tp pay the Company ,p-h one e unt rr a91Ie.. on 1. and not in find Of. alt other charges for services due and owing hereunder. <br /> By signature below. Subscriber confirms the t-,Um and completeness of the above information. SUBSCRIBER ACKNOWLEDGES READING. AND AGREES TO. ,r <br /> TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS AGREEMENT, WHICH TERMS AND CONDITIONS ARE PART OF AND HEREBY INCORPORATED INTO I <br /> AGREEMENT BY THIS REFERENCE. Subscribe' further authorizes any personal references or consumer reporting/credit agencies to furnish Company Subscrib, <br /> credit records or history. In the event of unaulnorird signature by an agent of if corporate or other business subscriber, the undersigned agrees to be individu <br /> liable for amounts not paid when due. <br /> J Check Box it Addendum is Attached for Additional Service Lines <br /> A.~6...r-n c~Slo~,~r.s~arr,mr~ new <br /> PAYMENT <br /> Make checks payable to: UNITED STATES CELLULAR <br /> S Cash S - Check -al~~e.pre..awoL AOrn ~anawrr oom <br /> S - - _ _ - - - - -CO g GIh Cedhicutc 1~ <br /> f <br /> Fecelpt d F'O G / Gift C lhhcate I <br /> CASH REGISTER VALIDATION <br /> J VISA J MnaterCafd J American Fxpl^ss J JP,cr~•..,r <br /> Numher - rxI• U-It,, <br /> By initialing hare. custorner authorizes compact' to charge b,nlc al^.ounts due under <br /> gds service agreement to the credit card account Ilsted above <br /> ORIGINAL- OFFICE YELLOW-AGENT/SALESPERSON I INIr cuSTOMER smiler es, <br /> USCH6 SA25 <br /> Rev. le. <br /> Thank you for selecting United States Cellular! <br />