terms of agreement for residential fiber optic … mail only residential fttx...terms of agreement...

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Terms of Agreement for Residential Fiber Optic Services Customer Name: _____________________________________ Date: _________________________________ Account Number: ____________________________________ SS # (Last 4 Digits: _______________________ Phone 1: _________________ Phone 2: __________________ Email: ______________________________________ Billing Address: ______________________________________________________________ Physical Address: ____________________________________________________________ BRMEMC.net Email Address: ______________________________ @brmemc.net Password: ____________________ Agreement Information Offer available to residential customers only. Business packages available by request. By signing above customer agrees to continue services for a term of 2 years, then continue month‐to‐month until the agreement is cancelled by either party. If customer cancels its service or any portion thereof, or has its services or any portion thereof terminated as provided above, prior to the expiration of the contract term, customer shall be obligated to pay BRMEMC the monthly reoccurring rate, of canceled service(s), multiplied by the months remaining in contract. Such termination charge shall be paid to BRMEMC within thirty (30) days after such cancellation by the Customer. Digital TV and voice services offered under this Agreement by Americas Center Corporation (channel lineup subject to change). BRMEMC and/or Americas Center will maintain ownership of fiber optic and video equipment, and upon termination of this Agreement, customer agrees to return said equipment in good working condition, or pay an equipment replacement fee of $200.00 per set top box, $25.00 per remote, and $15.00 per power cord. Acceptance of Terms of Service and Acceptable Usage Policy (as is posted online at www.brmemc.com) is required, and by virtue of signing this document customer agrees to be bound to said Terms and Policy. Broadband charges begin on the date of BRMEMC work order completion (pricing subject to change). Installation is to an outside NID near the electric meter base. Prior to inside installation, a quote with estimate will be provided to customer. Customer grants BRMEMC the right to construct, operate, access and maintain fiber‐optic lines and associated pedestals, or other apparatus necessary for such installations. The undersigned does not convey any land, but merely grants an easement for such fiber‐ optic facilities. The benefits and considerations of such fiber‐optic installations shall inure to any successors and/assignees of BRMEMC or the consumer. I have read, understand, and agree to the initial/monthly charges associated with Fiber Optic Services. (Pg. 2) I have read, understand, and agree to the Letter of Authorization to Change Service Providers. (Pg. 3) I have read, understand, and agree to the Subscriber Agreement for BRMEMC Enhanced Voice. (Pg. 4) I have read, understand, and agree to the Underground Electric and/or Fiber Service Agreement. (Pg. 5) ________________________________________________ __________________ Customer Signature(s) Date

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Page 1: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

Terms of Agreement for Residential Fiber Optic Services

Customer Name: _____________________________________ Date: _________________________________

Account Number: ____________________________________ SS # (Last 4 Digits: _______________________

Phone 1: _________________ Phone 2: __________________ Email: ______________________________________

Billing Address: ______________________________________________________________

Physical Address: ____________________________________________________________

BRMEMC.net Email Address: ______________________________ @brmemc.net Password: ____________________

Agreement Information

Offer available to residential customers only. Business packages available by request. By signing above customer agrees to continue services for a term of 2 years, then continue month‐to‐month until the agreement is cancelled by either party. If

customer cancels its service or any portion thereof, or has its services or any portion thereof terminated as provided above, prior to the expiration of the contract term, customer shall be obligated to pay BRMEMC the monthly reoccurring rate, of canceled

service(s), multiplied by the months remaining in contract. Such termination charge shall be paid to BRMEMC within thirty (30) days after such cancellation by the Customer. Digital TV and voice services offered under this Agreement by Americas Center

Corporation (channel lineup subject to change). BRMEMC and/or Americas Center will maintain ownership of fiber optic and video equipment, and upon termination of this Agreement, customer agrees to return said equipment in good working condition, or pay an equipment replacement fee of $200.00 per set top box, $25.00 per remote, and $15.00 per power cord. Acceptance of Terms

of Service and Acceptable Usage Policy (as is posted online at www.brmemc.com) is required, and by virtue of signing this document customer agrees to be bound to said Terms and Policy. Broadband charges begin on the date of BRMEMC work order

completion (pricing subject to change). Installation is to an outside NID near the electric meter base. Prior to inside installation, a quote with estimate will be provided to customer. Customer grants BRMEMC the right to construct, operate, access and

maintain fiber‐optic lines and associated pedestals, or other apparatus necessary for such installations. The undersigned does not convey any land, but merely grants an easement for such fiber‐ optic facilities. The benefits and considerations of such fiber‐optic

installations shall inure to any successors and/assignees of BRMEMC or the consumer.

I have read, understand, and agree to the initial/monthly charges associated with Fiber Optic Services. (Pg. 2)

I have read, understand, and agree to the Letter of Authorization to Change Service Providers. (Pg. 3)

I have read, understand, and agree to the Subscriber Agreement for BRMEMC Enhanced Voice. (Pg. 4)

I have read, understand, and agree to the Underground Electric and/or Fiber Service Agreement. (Pg. 5)

________________________________________________ __________________ Customer Signature(s) Date

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Page 2: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

Step 4 ‐ CHOOSE A PLAN

Services

Price(2 services)*

Monthly ChargesPrice

(3 services)Price

(1 service)

DATA

DATA Packages (higher data rates available by request)

BASIC - Internet (up to 10M↓/10M↑) 34.95 34.95 34.95 STANDARD - Internet (up to 20M↓/20M↑) 39.95 39.95 39.95 PREMIUM - Internet (up to 30M↓/30M↑) 42.95 42.95 42.95 ULTIMATE - Internet (up to 40M↓/40M↑) 49.95 49.95 49.95 LIGHTNING - Internet (up to 50M↓/50M↑) 59.95 59.95 59.95

PHONE

DATA

PHONE PackagesVoice Unlimited (includes: local calling, features** and unlimited nationwide LD) non-applicable 44.95 31.95 Voice Limited (includes local calling and features**) non-applicable non-applicable 19.95

Additional Phone Services800 Number Service (10¢ / min. inbound) non-applicable 5.00 5.00

PHONE

TV

TV PackagesBasic Tier (includes: local channels, 75+ channels) non-applicable 69.95 54.95 Expanded Tier (includes: Basic Tier, 160+ channels) non-applicable 84.95 69.95 Digital Tier (includes: Expanded Tier, HD Tier, 220+ channels) non-applicable 94.95 79.95 Ultimate Tier (includes: Digital Tier, ALL Premiums, 250+ channels) non-applicable 146.95 131.95

Additional TV PackagesSpanish Pkg. (requires: Basic Tier↑) non-applicable 5.00 5.00

Premium PackagesALL Premiums Pkg. (requires: Basic Tier↑) non-applicable 60.00 52.00 HBO Premium (requires: Basic Tier↑) non-applicable 15.00 15.00 Cinemax Premium (requires: Basic Tier↑) non-applicable 15.00 15.00 Showtime / TMC Premium (requires: Basic Tier↑) non-applicable 15.00 15.00 Starz / Encore Premium (requires: Basic Tier↑) non-applicable 15.00 15.00

Set Top Box (required per TV)Standard Set Top Box non-applicable 7.00 7.00

DVR Set Top Box non-applicable 12.00 12.00 (Standard Definition (SD) & High Definition (HD) capable) (1) Set Top Box per Television)

TV

Misc

(Standard Definition (SD) & High Definition (HD) capable), 1st Set Top Box is Free with any TV service. Additional Set Top Box(s) require rental fee. (1) Set Top Box per Television)

One Time ChargesPhone Service Activation Fee non-applicable 35.00 35.00

Optional ServicesBasic Service Install 75.00 75.00 75.00

Extended Service Install 25.00 25.00 25.00

Inside Wire Maintenance 1.50 1.50 1.50

Static IP Address 65.00 65.00 65.00 Additional 5 IP Addresses 20.00 20.00 20.00 Filtered Internet Service 4.95 4.95 4.95

(includes: technician to install (1) additional wire drop of either - Cat5 Ethernet Cable, phone line cable, TV set top box hook-up; must be completed during the same visit as Basic Service Install to apply)

(monthly fee- covers cost associated with correcting any problems in previously installed wiring)

**Residential features include:Authentication; Basic call logs; Call Forward Always On; Call Forward Busy; Call Forward No Answer; Call Return, Call Waiting, Customer Originated Trace, Caller ID - Name and Number Delivery; Last Number Return (*69); 3-Way Calling; Speed Calling 8; and Voicemail. (12 in all)

Misc

(includes: (1) Cat5 Ethernet Cable to PC or Router, or (1) phone line connection to existing in-home wiring, or (1) TV set top box hook-up. Installation is to an outside NID near the electric meter base and includes up to 50ft. into premises in proximity to the NID, (1) wall / floor penetration)

* One service choice must be a Data Plan

CONGRATULATIONS!  You have now completed the application process for your new fiber optic service.Please call 706‐379‐3121 with questions concerning this account.

Residential Contract

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29.95
Page 3: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

LETTER OF AUTHORIZATION TO CHANGE SERVICE PROVIDERS

DATE:

TO:

RE: SERVICE CHANGES:

This letter authorizes: ETC Communications Inc. 224 Dalton Street Ellijay, Georgia Telephone #800-660-6826 To verify your tele-communication services provided by ____________________________________,

and to schedule, coordinate, and change phones services to ETC Communication Inc.

Name: ________________________________________________________

Business Name: _________________________________________________

Address: _______________________________________________________

City: _____________________ State: _____ Zip: __________

Telephone Number(s): ___________________________________________

Account Number(s): _____________________________________________

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ETC Communication Inc.
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Page 4: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

SUBSCRIBER AGREEMENT

BRMEMC ENHANCED VOICE

SOME IMPORTANT INFORMATION ABOUT BRMEMC’s ENHANCED PHONE SERVICE POWERED ETC Communications

Thank you for choosing BRMEMC Enhanced Voice powered by ETC Communications, a voice over Internet protocol service. The rates, terms and conditions under which ETC Communications (“ETC”) will provide its Voice Service to you can be found at www.brmemc.com or by contacting BRMEMC at (706) 379-3121.

In addition, The Federal Communications Commission requires that ETC notify you about certain limitations on ETC’s E911 service:

YOU MUST PROVIDE YOUR CORRECT ADDRESS . If you do not correctly identify the address where your multimedia terminal adaptor (“MTA”) is located, or if you move the MTA away from the original address, your emergency calls may be routed to the wrong emergency authority, or emergency personnel may be misdirected to the wrong address. YOU EXPRESSLY ACKNOWLEDGE THAT YOU HAVE THE RESPONSIBILITY TO IMMEDIATELY NOTIFY ETC, THROUGH ITS AGENT, BRMEMC (Blue Ridge Mountain EMC) OF ANY CHANGE IN YOUR SERVICE ADDRESS. You must not relocate the MTA to a different address. If you change residences, you must contact BRMEMC at (706) 379-3121 for information on whether the ETC Voice Service can be transferred to your new residence and what the relocation will cost. If you wish to disconnect the ETC Voice Service, you must contact BRMEMC for information on the necessary procedures.

THERE MAY BE A DELAY UNTIL YOUR ADDRESS IS ENTERED IN THE E911 DATABASE. When you initially order service, or if you notify BRMEMC of a change in your service address, there may be a delay before the address or change in address is entered in the E911 database seen by the emergency service provider.

USE OF A NON-NATIVE TELEPHONE NUMBER MAY LIMIT EMERGENCY AUTHORITIES’ ACCESS TO YOUR LOCATION INFORMATION. If you are using a non-native telephone number (a telephone number from a different exchange than the one in which you are using the ETC Voice Service), emergency authorities or personnel may be unable to determine the location from which you are calling.

POWER OUTAGES MAY DISRUPT YOUR E911 SERVICE. Your Multimedia Terminal Adaptor (“MTA”) includes a battery backup that provides up to 6 hours of backup power in the event of a power outage. The MTA must be plugged in to maintain a charged battery. YOU EXPRESSLY ACKNOWLEDGE THAT YOU WILL NOT BE ABLE TO PLACE OR RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911 SERVICES, IF YOU ARE EXPERIENCING A POWER OUTAGE AND THE BATTERY POWER ON YOUR MTA RUNS OUT.

BROADBAND CONNECTION FAILURE WILL DISRUPT YOUR E911 SERVICE. YOU EXPRESSLY ACKNOLWEDGE THAT YOU WILL NOT BE ABLE TO PLACE OR RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911 SERVICES, IF BRMEMC OR ETC IS EXPERIENCING AN OUTAGE IN ITS NETWORK.

YOUR E911 SERVICE WILL NOT WORK IF YOUR MTA, OR OTHER EQUIPMENT REQUIRED FOR THE ETC VOICE SERVICE IS IMPROPERLY INSTALLED OR CONFIGURED.

Acknowledgement

I am at least 18 years old and am the person responsible for making decisions about voice services in this household. I have read the document titled “Some Important Information about ETC Communication’s E911 Service,” including the limitations on ETC’s E911 service. I understand and acknowledge these limitations.

For additional assistance, you may contact our Customer Service Department by phone at (706) 379-3121 or by mail at BRMEMC, PO Box 9, Young Harris, GA 30582.

Page 5: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

UNDERGROUND ELECTRIC AND/OR FIBER SERVICE 1. Whereas, Applicant has applied to the Cooperative for underground electric and/or fiber.

2. Whereas, the conditions for such service are stipulated in Cooperative’s Policy Bulletin No. 326, included by reference thereto as a part of this agreement and with which the applicant acknowledges he is familiar, particularly the General Conditions attached hereto; and,

3. Whereas, in keeping with said Policy, the Applicant agrees to make a cash contribution, in advance of construction. NOW, THEREFORE, the Cooperative does hereby agree to make such underground installation in keeping with its own plans and specifications and at a time convenient to the Cooperative, which convenience includes availability of materials and equipment, favorable weather conditions and prior commitments.

This agreement is binding for current and all future applications for underground electric Service. IN WITNESS WHEREOF, the parties hereto have affixed their respective signatures as of the year and date first above written.

POLICY BULLETIN NO. 326

SUBJECT: UNDERGROUND SERVICES - EXTENSION POLICY The Cooperative will extend underground service, upon request, to its consumers under the following conditions: GENERAL CONDITIONS (applicable to all underground installations)

A. All charges required to be paid under the terms of this policy will be payable in advance or by credit arrangements satisfactory to the Cooperative. A fter the line is constructed no refund of contributions will be made by the Cooperative. B. Where it is necessary to trench along roads, streets or drives (due to inadequate right- of-way, etc.), or where water lines, sewer lines, shrubs, trees and grass sod are subject to damage during underground installations, the Cooperative will not be responsible for damage, replacement or repair resulting from or required as a result thereof. C. Underground installations will be made with the understanding that, should it be necessary to uncover the cable for maintenance and/or repair, the Cooperative will use reasonable care and diligence to preserve and protect water lines, sewer lines, sod, shrubs, trees, driveways, etc., but will not be responsible for loss of or damage to natural or man- made objects, including but not limited to water lines, sewer lines, sod, shrubs, and trees, or replacement of paving. D. Where, due to rock that cannot be moved by standard excavating equipment, the owner or developer shall be charged by the Cooperative the actual cost of drilling and blasting through affected area. Where there are other unusual conditions, such as high water table, which require installation procedures not normally used, the excess cost of such procedures may be charged by the Cooperative to the owner or developer. E. If the applicant requires outdoor area "Security" lighting as provided for under Rate Schedule LS, applicant will be required to pay a security light installation fee and any additional cost resulting from underground installations according to Policy Bulletin No. 336. F. The provisions of Policy Bulletin No. 320 concerning acquisition of "Right-of-Way

Easements" apply to extensions made under this policy.

Orig. 02/71

Rev. 07/74; 07/81; 10/84; 08/85; 11/85; 08/86; 02/91

Page 6: Terms of Agreement for Residential Fiber Optic … MAIL ONLY Residential FTTX...Terms of Agreement for Residential Fiber Optic Services Customer Name: __ _____ Date: _____ Account

2 WSB  84 Chiller 17 LRW 217 Gospel 416 Lifetime HD 520 National Geographic HD3 WATL 85 Fox Movie Channel 30 SPSOUT 218 Holiday Hits 424 ESPN HD 521 National Geographic Wild HD4 Local Access 86 Hallmark Channel 31 Fox Sports 2 219 Flashback 70's  426 ESPN News HD 522 A & E HD5 WAGA 87 Cloo 45 The N (Teen Nick) 220 Everything 80's  427 ESPN U HD 523 History HD6 WGCL 88 USA Network 48 Nicktoons 221 Jukebox Oldies 428 ESPN2 HD 525 Biography HD7 WPCHDT 90 FX 66 Fox Business Network 222 Urban Beats 429 Fox Sports 1 HD 527 Travel Channel HD8 WPBA 93 TV Land 83 Hallmark Movie Channel 223 Today's Latin Pop 430 Sports South Georgia HD 529 TRUTV HD10 WUPA 94 TNT 89 FXX 224 Latino Tejano 431 Fox Sports 2 HD 534 Planet Green HD11 WXIA  98 WGN AME 113 Crime & Investigation  225 Rock  432 NBC Sports Network HD 542 Cooking Channel HD14 QVC 102 EWTN 115 Military History 226 Hard Rock 433 Fox Sports South HD‐Georgia 543 DIY HD16 Lifetime 104 TBN 121 National Geographic Wild 227 Alternative Rock Classics 437 Golf Channel HD 545 HGTV HD18 Lifetime Movie Nework 110 Discovery Channel 132 FITV 228 Jazz Now 438 NFL Network HD 546 Food Network HD20 Weather Channel 111 OWN 142 Cooking Channel 229 Smooth Jazz 440 Disney HD 547 Esquire HD21 HSN 117 Animal Planet 143 DIY 230 Big Band 441 Disney XD HD 552 Comedy Central HD24 ESPN 118 TLC 150 Outdoor Channel 231 Baroque 442 Cartoon HD 554 Spike TV HD25 ESPN Classics 119 Science Channel, The 170 Great American Country 232 Chamber Music  443 HUB Network HD 555 G4 HD26 ESPN News 120 National Geographic 171 VH1 Classic Rock 233 Classic Masters 450 Nick HD 556 E! Entertainment HD27 ESPN U 122 A&E Entertainment 200 Adult Alternative 234 Opera Plus 466 Fox Business Network HD 561 Oxygen HD28 ESPN2 123 History 201 Classic Rock  235 Celtic 471 CNN HD 566 Bravo HD29 Fox Sports 1 124 History International 202 Rock Alternative 236 Spa 474 FOX News Channel HD 567 Syfy HD32 NBC Sports 125 Biography 203 Country Classics 237 Kids' Stuff 476 CNBC World HD 574 MTV HD33 Fox Sports South Gegoria 127 Travel Channel 204 Alternative Country 238 Dance Clubbin'  477 MSNBC HD 575 MTV2 HD34 SEC Network 129 tru TV 205 Hot Country 239 Dance Classics 478 CNBC HD 576 VH1 HD35 SECA 133 Investigation Discovery  206 No Fences 240 Maximum Party  481 ABC Family HD 577 CMT HD36 SECB 134 Planet Green 207 Bluegrass 241 The Chill Lounge  482 TBS HD 578 BET HD37 Golf Channel 135 Military Channel 208 Folk Roots 242 Jammin'  483 Hallmark Movie Channel HD 579 Palladia HD38 NFL Network 145 HGTV 209 Jazz Masters 243 Nothin' But 90's 485 Fox Movie Channel HD 602 WSB HD40 Disney Channel 146 Food Network 210 The Blues 244 Soul Storm 486 Hallmark Channel HD 603 WATL HD41 Disney XD 147 Esquire (f.k.a.Style) 211 Pop Classics 245 Retro R&B 488 USA HD 605 WAGA HD42 Cartoon Network 151 RFD Tv 212 Easy Listening 246 Latino Tropical  489 FXX HD 606 WGCL HD43 HUB Network 152 Comedy Central 213 Swinging Standards 247 Latino Urbana 490 FX HD 610 WUPA HD50 Nickelodeon 154 Spike TV 214 Hit List 248 Retro Latino  492 Universal HD 611 WXIA HD52 Nick Jr 155 G4 215 Pop Adult  249 Regional Mexican  493 TV Land HD 614 WRCB HD53 Disney Jr. 156 E! Entertainment 216 The Light 494 TNT HD 615 WTVC HD60 CSPAN 157 GSN 498 WGN HD 616 WDEF HD61 CSPAN2 161 Oxygen 509 Velocity HD 617 WDSI HD62 CSPAN3 164 mun2 300 SHOW 327 TMC 510 Discovery HD 620 WLOS HD64 FUSION 166 Bravo 301 SCIN 328 TMCX 517 Animal Planet HD 621 WHNS HD71 CNN 167 Syfy 302 SCOME 329 WOMEN 518 TLC HD 622 WUNC HD72 HLN 172 FUSE 303 SEDG 330 FLIX 519 Science Channel HD74 Fox News Channel 174 MTV 304 STZIB 340 HBO76 CNBC World 175 MTV2 305 STZK 341 HBO277 MSNBC 176 VH1 306 ENCORE 342 HBOF 700 STARZ HD 741 HBO2HD78 CNBC 177 CMT 307 EACT 343 HBOC 701 STZK HD 742 HBOFHD81 ABC Family 178 BET 308 EDRA 344 HBOSIG 702 SCOMHD 743 HBOCHD82 TBS 309 ELOVE 345 HBOZ 703 SEDGH HD 744 HBOSGH

310 ENCRM 346 HBOLAT 704 ENCR1H 745 HBOZHD311 ENCRWA 350 MAX 705 SHOW HD 746 HBOLAH312 EWST 351 MOMAX 707 SHO2 HD 750 MAXHD

23 ESPN Desportes 138 Discovery en Espanol 320 SHOWX 352 ACMAX 708 SHO2PH 751 MOMAXHD321 NEXT 353 THMAX 709 SHOCSH 752 ACMAXH322 SHOCSE 354 WOMAX  710 SHOCPH 753 THMAXH323 SHOW 355 ATMAX 711 TMCHD 754 WOMAXH324 SHOWB 356 5MAX 712 TMCHDP 755 ATMAXH325 SHOFZ 357 OMAX 714 TMCXHD 756 5MAXHD326 SHO2 716 SHOWXH 757 OMAXHD

740 HBOHD

Basic Package Expanded Package (includes Basic) Digital Package (includes Expanded)

Spanish Package

Movie Channels

HD Movie Channels

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