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<br /> CUSTOMER INFORMATION ? Individual ? Business
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<br /> ACCOUNT INFORMATION
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<br /> (Jy~ EQUIPMENT INFORMATION
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<br /> SERVICE INFORMATION AND CHARGES
<br /> MONTHLY CHARGES INITIAL CHARGES ASIgnnl0i.:i Da[.'°uz lnsvarw
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<br /> NONT4lY SF_RVICE P' Al+NwhlE nOVnNCE Lozz GamsVa MxnElr
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<br /> °EAK OFFPFAK MINUTES _ Mauro 5.=5 -d 3a5
<br /> '.usrOM CALLINGTEATURES r HVIOEnCIIVAnONOHnpGE _ - _ vonaolmTm,epononle p 35 ; 5 325
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<br /> DETAILED 9ILLING FIIUIPMFll' IHIIIFCHAHGEial.oval -
<br /> NESSAGE- CENIEl1 N i fALLA1IDN CHANGE
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<br /> dDAOSIDE ASSISTANC E ,n IFH IV 'ury_
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<br /> - SERVICE AGREEMENT
<br /> ANNUAL AGREEMENT: -
<br /> (a) Term. The charges for c>>__I3~~JJLLyy~~erv'ce are spec h' d b I cl. gn 11 Co p y i e g to 111111t y increase In these rates as explained below You. -Lee to maintain cellular Service an
<br /> this Agreement for a temof~y'months(customer L ITE MPLANI
<br /> (b) Rates. The Company will notify You in Writing at trust dav s pr'o 't ling any ' Increase ' charges f cellular service During this 30 day period, and before the new rates become effective may terminate this Agreement by notifying the Co rpany, m writing. of Your intention to do so. Term tat-on during this 30 day period is not subject to the provor ions of Section Icj of this Agreement. If
<br /> do not terminate this Agreenent during such 30 day Period tin five on er. the TERM PLAN will remain in effect.
<br /> Termination. II You have selected the TERM PLAN. You may tern.... cc till,, Agreement at lie end of the INITIAL TERM (as set forth above) by notifying the Company in writing of Your Intention 10
<br /> so at least 30 days p,lot to the explrntion of the INITIAL TERM. You xnowlodge that any early teralinalion of this Agreement during the INITIAL T M, luding, bill not limited to, a termination
<br /> the Company .as provided in Paragraph 3 on the reverse side hereof. w-0I damage the Company in an amount that is difficult to determine, but that 5 represents a reasonable estimate of
<br /> Company s damages. You agree to pry the Company •ucn omounl in d TUPH, to, and not in lwn of, all other charges for services due and owing hereunder.
<br /> By signature below. Subscriber Confirms the truth and completeness of the above information. SUBSCRIBER ACKNOWLEDGES READING. AND AGREES TO, A
<br /> TERMS AND CONDITIONS ON THE REVERSE SIDE nF THIS AGREEMENT. WHICH TERMS AND CONDITIONS ARE PART OF AND HEREBY INCORPORATED INTO Ti
<br /> AGREEMENT BY THIS REFERENCE. Subscriber further nuthorizes any personal references or consumer reporting/credit agencies to furnish Company SubscribF
<br /> credit records or history. In the event of unaulhorizert signature by Ali agant of a corporate or other business subscriber, the undersigned agrees to be individu,
<br /> liable for amounts not paid when due.
<br /> J Check Box if Addendum is Attached for Additional Service Lines
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<br /> PAYMENT
<br /> Make checks payable to: UNITED STATES CELLULAR
<br /> S Cash S Check nwh Aun, s le n e Dais
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<br /> Receipt tt' PO = Gil Certlhcate H -
<br /> j VISA j NlastnlCanj j Ai .toncelrl Fvpres Tr CASH REGISTER VALIDATION
<br /> Number I,
<br /> By lnlhaling here cuslomer nWhon: os renylmly IT, i, h:i^ Inhno I'Ilnud; Iluo luldcl
<br /> this service agreement to the credit card account IIs'ed ho ve
<br /> DRIGINAL -OFFICE YELLOW - AGENPSALESPERSON PINK -I USTOMER SCll crew
<br /> Rev.
<br /> Thank you for selecting United States Cellular!
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