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Dial Up Service Agreement Online Form



Haxtun Telephone Internet
P.O. Box 25, Haxtun, CO 80731

DIAL UP INTERNET SERVICE AGREEMENT

*Denotes a required field
*Your Full Name:
*Today's Date:
*Phone Number:
*Street Address:
*City:
*State:
*Zip:


This is an agreement between Haxtun Telephone Internet and the customer. Through this agreement you agree to accept Dial Up services from Haxtuntel.net for a period of time as designated below (one year contract).

Dial-Up Service

The charges discussed do not include applicable taxes and surcharges. Upon expiration, this agreement will continue month to month until it is cancelled by either party. (There is no cancellation fee for dial-up)

The attached Terms and Conditions contain general provisions regarding the obligations of the parties under this agreement. By signing below, you agree to be bound by the Terms and Conditions.


Services Available:
*Please select the service you would like:

Basic Dial-Up - Flat Rate Service Unlimited Access - $19.95/month

Other Charges and Equipment:
Surge Protector $35.00
(highly recommended)
*Desired Username:
*Password:
2nd Email:
Password:


DIAL-UP INFORMATION:

Local Access Numbers for Dial-Up Subscribers:
  • Crook: 886-9484
  • Fleming: 265-9484
  • Haxtun: 774-9484

$25.00 Service Fee will be charged for programming changes or additions of E-Mail addresses.


File and Print Sharing Off: File and print sharing should be turned off on your computer. If they are turned on, there is a greater risk that other users on the internet could access your computer system and/or files. By initialing here, you state your understanding of the above statement and take full responsibility for any and all damage to your computer system and/or files should you leave the file and print sharing turned on.
*Initial Here:


Surge Protection and Grounding: Customer agrees to properly surge protect their computer equipment and any additional devices attached to said equipment. Haxtuntel.net and/or Haxtun Telephone are not responsible for any conditions, outages, or problems that result due to power surges, or lack of surge protection.
*Initial Here:


Firewall Protection: Haxtuntel.net is not responsible for any external intrusion to the customer's computer or network equipment. The customer is responsible for providing firewall protection in an effort to help prevent intrusions. Since this service is an "Always On" connection, it is Haxtuntel.net's recommendation that customers have appropriate firewall and virus protection on their equipment when using Haxtuntel.net DSL service.
*Initial Here:




You must read and agree with these terms and conditions:

HAXTUN TELEPHONE INTERNET
TERMS AND CONDITIONS APPLICABLE TO DSL AGREEMENT

AGREEMENT
By signing the front page of this document, you the customer, agree to subscribe to Haxtuntel.net. DSL service identified thereon, in accordance with the terms and conditions set forth below, subject to acceptance by Haxtuntel.net. Haxtuntel.net will give reasonable amendment to this agreement if you do not notify Haxtuntel.net to cancel your service.
You agree that Haxtuntel.net DSL service will not be used to cancel for unlawful purposes. If Haxtuntel.net has reason to believe the service provided is being used for unlawful purposes, Haxtuntel.net may discontinue or deny the service.

BILLING OF SERVICE
You agree to pay the amount stated on the front of the agreement by the due date shown on your monthly bill. Monthly recurring charges are billed one month in advance. Your first bill will be dated as indicated on the front of this agreement. The installation fee, any applicable equipment charges, and prorated monthly recurring charges from your date of installation to the beginning of the first month of your first bill will be included in that billing. If your installation fee and/or recurring charges are paid in advance, that amount will be credited to your first bill. You are responsible for all charges within the terms and conditions set forth in this agreement.
All bills are due and payable on or before the 20th of each month. If your payment is received after that date, a delinquent notice will be mailed to you indicating a disconnection-of-service date. If you do not pay such amounts when due, you may be billed a late payment charge up to the maximum allowed by law.

DISCONNECTION OF SERVICE
You may discontinue service upon written notification to Haxtuntel.net, after which you will still be subject to payment of all applicable charges. No initial charges shall be refunded once Haxtuntel.net has accepted this contract.
Haxtuntel.net has the right to discontinue your service without notice if payment is more than 30 days in arrears, if you fail to honor the terms of this agreement, if you violate the rules/regulations of the Federal Communications Commission (FCC), or if you use your service for unlawful purposes.
If your service is disconnected for nonpayment of your bill, an activation fee will apply if the service is resumed. You will be liable for any costs (including reasonable attorneys' fees) relating to collection of the amounts owed.

SERVICE LEVEL AGREEMENT
Based upon network availability, Haxtuntel.net DSL is a "best efforts" service, which can provide Up Stream and Down Stream speeds of 128/384, 256/768, & 384/1.0K based upon which package the customer selects. The actual speed experienced by customers may vary and depend on several factors not limited to but including customer location, the destination on the Internet, traffic on the Internet, interference with a high frequency spectrum on the customer's telephone line and other devices that may be attached to the same cable pair. No minimum level of speed is guaranteed.
Haxtuntel.net is providing DSL service on a retail basis to the customer. The customer agrees to utilize the service exclusively and not to provide access to third parties either through "sharing" or "Resale".
Web Page HOSTING and Caching are services available with your DSL connection for an additional charge. Contact our office for information on these services.
*Electronic Signature:
*Type the code below:
  



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