Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.
Appears in 6 contracts
Sources: Customer Agreement, Customer Agreement, Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.
Appears in 2 contracts
Sources: Customer Agreement, Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 2 contracts
Sources: Customer Agreement, Customer Agreement
Payment Authorization. You authorize Viasat 1.20.1. Registered Contractor hereby authorizes each and every Renovate America Entity to charge your initiate credit card or and debit card entries (including Automated Clearing House (“Card PaymentACH”)) entries) and to initiate, if necessary, debit or credit entries and adjustments for any debit or credit entries in error, to any and all of Registered Contractor’s checking and/or savings accounts for which information is provided to any Renovate America Entity. In the event that any such account lacks sufficient funds for any debit from any Renovate America Entity, Registered Contractor agrees that it will compensate such Renovate America Entity for the entire amount of the debit, including any applicable collection expenses and attorney’s fees associated with such Renovate America Entity’s attempt to collect such amount. Registered Contractor is solely responsible for any overdraft charges or other fees that its banking institution may assess in connection with transfers initiated pursuant to these Terms and Conditions. No Renovate America Entity shall be liable for any damages resulting from any transaction it initiates pursuant to these Terms and Conditions.
1.20.2. Any payment obligation or other liability of Registered Contractor (a “Payment Obligation”) shall be satisfied by any of the following (at Renovate America’s discretion): (i) Registered Contractor delivering to a Renovate America Entity on terms acceptable to the Renovate America Entity a cashier’s check or money order in the full amount of such Payment Obligation to an address designated by the Renovate America Entity, (ii) Registered Contractor initiating on conditions acceptable to a Renovate America Entity an ACH credit entry to an account designated by the Renovate America Entity, or (iii) a Renovate America Entity initiating an ACH debit entry to an account of Registered Contractor. Registered Contractor hereby authorizes each and every Renovate America Entity to initiate an electronic funds transfer out ACH debit entries to any and all of your bank account (“EFT Payment”) Registered Contractor’s accounts for payment of all which information has been provided to any Renovate America Entity, to satisfy any Payment Obligation or liability or other remedy available to any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat Renovate America Entity hereunder. The authorization herein is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions irrevocable so long as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendumis in effect. You acknowledge that you have received, read, understand and agree Registered Contractor agrees to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, NACHA rules as each of them may be updated in effect from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.
Appears in 2 contracts
Sources: Contractor Participation Agreement, Registered Contractor Terms and Conditions
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 15 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, Addendum and/or the CAF-II Lifeline Emergency Broadband Benefit Program Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.
Appears in 2 contracts
Sources: Customer Agreement, Customer Agreement
Payment Authorization. You authorize Viasat Northland Connect to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable Fee (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat Northland Connect is required under applicable law to accept another method of payment or Viasat Northland Connect has agreed to accept another method of payment from you. This Agreement has 20 also incorporates “Exhibit A” – the Data Usage and Video Streaming Quality Explanations. In addition, if you are leasing your equipment you should receive a copy of the Lease Addendum and Extended Protection Plan Addendum. The Extended Protection Plan is include in your lease fee. If you purchased your equipment you should receive a copy of the “Extended Protection Plan” Addendum. We highly recommend signing up for the Protection Plan to avoid high service call costs after the warranties expire. CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Print Customer Name: Street Address: Date: Print Authorized Signer’s Name: Relationship to Customer: Data Allowance (GB) (Combined Upload and Download) 10 Measured Unlimited access to web pages and incorporates Viasat’s email and, depending on the service plan selected, either 5 GB, 10 over a Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on (GB) GB or 20 GB of data for everything else (see ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇/▇▇▇▇-▇▇▇▇▇▇▇▇▇- fixed (Combined Upload and policy.pdf for complete details) monthly period Download) Liberty Plan customers who exceed their Priority Data limit will receive Liberty Pass for the remainder of their monthly billing period. Liberty Pass speeds are slower than Priority Data speeds and may be extremely slow when the network is busy, which may greatly impair internet usage. Heavier users of Liberty Pass may be slowed to a larger extent than lighter users. (See ▇▇▇.▇▇▇▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇/▇▇▇▇-▇▇▇▇▇▇▇▇▇-▇▇▇▇▇▇.▇▇▇ for complete details) over a Data Allowance (GB) fixed (Combined Upload and monthly Download) Measured If you use greater than 150 GB of data during a monthly billing period, certain speeds will be slowed, over a fixed monthly No Strict Data Allowance as described in the Bandwidth Usage Policy. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge Northland Connect may request that you have received, read, understand and agree reduce your monthly usage below 150 GB or transition to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to timeanother plan. If you did not receive Sections 1 through 8 do neither, we may terminate your service. (See ▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/documents/master/bandwidth-usage-policy.pdf Measured After 150GB of this Agreementdata usage, Exhibit Awe may prioritize your data behind other customers during network over a congestion, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account which will result in slower speeds as described in the Customer’s nameUnlimited Data Policy. 1(See fixed No Data Allowance ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/documents/master/unlimited-data-policy.pdf for complete details) period Bronze 12, Silver 12, Silver 25, Gold 12, Gold 30, Gold 50, Platinum 100 (purchased on or after February 14, 2018) Measured After 40 GB of data usage for Bronze 12; 60 GB of data usage for Silver 12 and 25; 100 GB of data over a usage for Gold 12, 30 and 50; and 150 GB of data usage for Platinum 100, we may prioritize your fixed No Data Allowance data behind other customers during network congestion, which will result in slower speeds as monthly described in the Unlimited Data Policy. (See ▇▇▇▇▇://▇▇▇.▇▇▇▇▇.▇▇▇/documents/master/unlimited- period data-policy.pdf for complete details) Measured over a rolling 30-day period Value Pak Select Pak Pro Pak Upload Threshold (MB) 2,300 3,000 5,000 Download Threshold (MB) 7,500 12,000 17,000 Any Bronze Service plan Small screen quality (typically up to 360p) Any Silver Service plan DVD quality (typically up to 480p) Any Gold Service plan High-definition quality (typically up to 720p) Any Platinum Service plan Full High-definition quality (typically up to 1080p) All Essential 10, Evolution, Liberty, Freedom, Basic 12 and Exede Classic plans have the Video Data Extender. The ServiceVideo Data Extender is a feature that streams video at DVD quality (optimized for 480p), which allows you to get more out of your monthly data allowance or other data threshold. Not all video sources are identifiable and available to benefit from the Video Data Extender. The feature is turned on by default. You can turn the Video Data Extender off or on at any time by visiting ▇▇▇▇://▇▇▇▇▇▇▇.▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇.▇▇▇.
Appears in 2 contracts
Sources: Customer Agreement, Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”P”a), or initiate an oyrmineitinatetan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesfoorf yopuraSyermviceenfetes, the Termination FeetohefTeramlinlationoFree, if applicable (and/or any aif anpyplicapbloe r(antdi/oor anny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyAlloy,wBaanndwciedth UPsoagle iPoclicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Print Customer has authorized me to establish an account in the Customer’s name. Name: Street Address: 1. The Service.
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes, the Termination FeetRheITerDmOinOationRFUee, if applicable (and/or any Dif aQp\plicaSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 15 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat{V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, Addendum and/or the CAF-II Lifeline Emergency Broadband Benefit Program Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes, the Termination FeetRheITerDmOinOationRFUee, if applicable (and/or any Dif aQp\plicaSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat{V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 1 contract
Sources: Customer Agreement (Residential)
Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF.I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled daily in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method 1,178.57. Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount (594,000.00), is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on Account: Checking Savings Merchants Legal Name: DIGITAL POWER CORPORATION View-Only Access to Online Bank Login: Password: Date: 1/10/2018 FOR THE MERCHANT (DIGITAL POWER CORPORATION) by: M▇▇▇.▇▇ ▇▇▇▇ X /s/ M▇▇▇▇▇ ▇▇▇▇ (Print Name and Title) (Signature) by: K▇▇▇▇▇▇.▇ ▇▇▇/▇ X /s/ K▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand ▇▇ ▇▇▇▇ (Print Name and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information Title) (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.)
Appears in 1 contract
Sources: Future Receivables Sale Agreement (DPW Holdings, Inc.)
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Plan Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Plan Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information $XWKRUL]HG 6LJ (if Customer is not present at Installation) Print Customer SignatureName: DateStreet Address: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 14 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, and/or are receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, and/or the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, and/or the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF. I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled weekly in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method $50,183.15 Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount 1,370,000.00 is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance PolicyAccount: Checking Savings Merchants Legal Name:Smart Works, Bandwidth Usage PolicyLLC/ Smart Works IT Services, Unlimited Data PolicyLLC/ ITECH US, Privacy PoliciesInc/ SharedLabs, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on Inc/ Exois Inc View-Only Access to Online Bank Login: Date: 8/23/2018 by: J▇▇▇.▇ ▇▇▇▇ Chairman, President and CEO /s/ J▇▇▇.▇ ▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand ▇ (Print Name and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information Title) (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.)
Appears in 1 contract
Sources: Future Receivables Sale Agreement (SharedLabs, Inc)
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 19 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: $XWKRUL]HG 6LJ Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me 3ULQW $XWKRUL]H Relationship to establish an account in the Customer’s name. 1. The Service.:
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You I authorize Viasat my bank to charge your credit card debit my account as identified above to the terms stated here. This authorization shall remain in effect until the Purchaser and bank receive written notification from me of intent to terminate at such time and in such manner as to afford the Purchaser and bank reasonable opportunity to act (minimum 30 days). I understand that if the total amount owed to the Purchaser is increased, I authorize this plan to continue as long as the payment amount remains unchanged until the amount owed the Purchaser is paid off, or debit card unless the plan is terminated earlier by me as above. I understand any added amounts can be applied for with a new ACH Debit Authorization Form. All other changes such as payment amount, frequency, bank account number change, will require a new ACH Debit Payment Authorization Form to be filled out and submitted to Merchant 15 days prior to any change being implemented. I will be liable to pay an NSF fee of $25.00 (“Card Payment”or the amount allowable by law), which may be automatically debited for each NSF.I represent and warrant that I am authorized to execute this payment authorization for the purpose of implementing this payment plan. I indemnify and hold the Purchaser and the bank harmless from damage, loss or initiate an electronic funds transfer out claim resulting from all authorized actions hereunder. Payments will be scheduled daily in the amount of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method 4,714.29. Recurring schedule of payment or Viasat has agreed will start on the following day after the financing proceeds are disbursed to accept another method the business. Payments will be deducted every day, excluding weekends until full payback amount, referred to as the Purchased Amount (594,000.00), is reached. Routing Number Account: Number Account Name: Bank Name: Type of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on Account: Checking Savings Merchants Legal Name: DIGITAL POWER CORPORATION View-Only Access to Online Bank Login: Password: Date: 1/18/2018 FOR THE MERCHANT (DIGITAL POWER CORPORATION) by: M▇▇▇.▇▇ ▇▇▇▇ X /s/ M▇▇▇▇▇ ▇▇▇▇ (Print Name and Title) (Signature) by: K▇▇▇▇▇▇.▇ ▇▇▇/▇ X /s/ K▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand ▇▇ ▇▇▇▇ (Print Name and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information Title) (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.)
Appears in 1 contract
Sources: Future Receivables Sale Agreement (DPW Holdings, Inc.)
Payment Authorization. You To the extent permitted by law, you hereby authorize Viasat us to charge your credit card initiate separate EFT/Credit Card charges from the account you identify and/or any replacement or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank substitute account (the “EFT PaymentAccount”) for payment the following amounts: (1) the payments shown above; (2) your monthly training fees and the cost of all any monthly Services Add-Ons; (3) a $5 “no show” fee for failure to cancel a reservation at least 1 hour prior to the class start time; (4) a $25 returned item fee for any EFT charge that is returned unpaid or any portion of your Service fees, the Termination Fee, if applicable on a credit/debit card return; and (and/or 5) any other applicable termination fee) and any fee for Personal Training or other amounts payable under this Agreement, until such amounts are paid goods or services we provide you from time to time if you instruct us orally or in full, unless you live in a state where Viasat is required under applicable law writing to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇▇ the charge to your Account on file, as authorized by you at that time. You may cancel your EFT/▇▇▇▇▇Credit Card authorization for the payment of monthly dues by giving us 30 days written notice of cancellation per the terms of this Agreement. In additionI understand that these charges, if you are leasing listed above, will appear on my credit card statement and/or bank statement under the name of 5th GEAR FITNESS and I accept full financial responsibility for payment of these charges. I certify that the information that is stated above is true and accurate. The payments shall be drawn on or about the date or dates of the Payment Plan. The transactions on your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through bank statement will constitute receipts for payment on your account. I also agree to contact 5th GEAR FITNESS about any matter of chargeback or stop payment that may pertain to this agreement in order to attempt to resolve the CAF-II program, and/or receiving matter prior to stopping payment or charging back payment(s). If any negative action is taken and the Affordable Connectivity Program or Lifeline discountsaction is ruled in favor of 5th GEAR FITNESS and the cardholder/bank account owner did not contact 5th GEAR FITNESS prior to the negative action, the Agreement incorporates, cardholder/account owner will be legally liable for all items and fees as applicablenoted above. 5th GEAR FITNESS may be reached at 813-662-4044. 5th GEAR FITNESS (The Club) hereby reserves the right to change the Designated Billing Company at their discretion and without warning or notice. If such a change is made, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the full terms and conditions set forth on each of the pages of this Agreement will continue to apply and you agree to authorize the incorporated documents, as each of them may be updated from time new Designated Billing Company to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Servicecontinue drafting your account.
Appears in 1 contract
Sources: Client Agreement
Payment Authorization. You As the owner of the account above, I authorize Viasat Crunch LA, LLC to charge your my credit card account listed above, or to debit card my deposit account listed above by Electronic Funds Transfer (“Card PaymentEFT”) or by debit card, for all applicable fees incurred in connection with my Crunch membership, including but not limited to Monthly dues, Annual Fee, Member Day Fee (s), Group Fitness late / no show fees and incidental charges. Crunch LA, LLC shall notify me by email at least ten (10) days before each Member Day Fee payment or initiate non-scheduled incidental charge or other charge is deducted from my account by EFT, if applicable. By signing below, I agree to such electronic delivery of notices. Furthermore, I understand that my ongoing consent to receive such notices in an electronic funds transfer out of your bank format is voluntary and may be revoked at any time by contacting Crunch LA, LLC. If there is any change in my account (“information for this payment authorization, I will promptly notify Crunch LA, LLC in writing or update my account information on the Crunch website member portal. This EFT Payment”) for payment of all authorization remains in full effect until my Crunch membership expires or any portion of your Service feesmy Crunch Membership Agreement has been cancelled pursuant to the terms thereof You, the Termination Feebuyer, if applicable (and/or may cancel this agreement at any other applicable termination fee) time prior to midnight of the fifth business day of the health studio after the date of this agreement, excluding Sundays and any other amounts payable under holidays. To cancel, mail, email, or deliver a signed and dated notice that states that you, the buyer, are cancelling this Agreementagreement, until such amounts are paid in fullor words of similar effect. The notice shall be sent via first-class mail to: Crunch LA, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from youLLC Attn. This Agreement has 20 pages and incorporates Viasat’s Data Allowance PolicyMember Services, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇ ▇▇▇.▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇ ▇▇▇▇▇, via email from an email address on file with the health studio or hand deliver to the club facility. Crunch email: ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discountsYou, the Agreement incorporatesbuyer, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand may cancel this agreement and agree to be bound by all obtain a pro rata refund: (1) within 20 days of the terms and conditions set forth on each contract’s execution if the contract requires payment of $1,500-$2,000; (2) within 30 days of the pages contract’s execution if the contract requires the payment of this Agreement and $2,001 to $2,500; or (3) within 45 days of the incorporated documentscontract’s execution if the contract requires the payment of $2,501 or more, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreementinclusive, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Serviceincluding initiation fees or initial membership fees.
Appears in 1 contract
Sources: Membership Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 14 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, Email End User License Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Premier Tech Support and/or are receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Premier Tech Support Addendum and/or the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Premier Tech Support Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Recovery Act Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”), or initiate an electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service fees, the Termination Fee, if applicable (and/or any other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 18 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage Policy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Emergency Broadband Benefit Program or Lifeline discountsdiscount, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Emergency Broadband Benefit Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information CUSTOMER INFORMATION AUTHORIZED SIGNER INFORMATION (if Customer is not present at Installation) Customer Signature: Date: Authorized Signer’s Signature: Date: By signature I affirm that the Customer has authorized Date: me to establish an account in the Customer’s name. Date: 1. The Service.
Appears in 1 contract
Sources: Customer Agreement
Payment Authorization. You authorize Viasat to charge your credit card or debit card (“Card Payment”³&DUG 3´D), or initiate an o\rPinHitiQateWan electronic funds transfer out of your bank account (“EFT Payment”) for payment of all or any portion of your Service feesEDQN DFFRXQW ³()7 3D\PHQW´ IRoUf yoSurDS\erPvicHeQfeWes , the Termination FeetRheIT erDmOinOati onRFUee , if applicable (and/or any Dif aQp\pli caSblRe U(anWdL/▇▇▇ aQny other applicable termination fee) and any other amounts payable under this Agreement, until such amounts are paid in full, unless you live in a state where Viasat is required under applicable law to accept another method of payment or Viasat has agreed to accept another method of payment from you. This Agreement has 20 pages and incorporates Viasat’s Data Allowance Policy, Bandwidth Usage PolicyViasat¶V 'DWD $OORy,ZBDanQdwFiHdth U3sRagOe LPoFlicy, Unlimited Data Policy, Privacy Policies, Acceptable Use Policy, Network Management Policy, Viasat Shield Application End User Terms and Conditions Agreement, and your Internet Service plan details and restrictions as posted on ▇▇▇.▇▇▇▇▇▇.▇▇▇/▇▇▇▇▇. In addition, if you are leasing your Equipment, receiving Voice, receiving Services through our Recovery Act Program, receiving Services through the CAF-II program, and/or receiving the Affordable Connectivity Program or Lifeline discounts, the Agreement incorporates, as applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum, the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum. You acknowledge that you have received, read, understand and agree to be bound by all of the terms and conditions set forth on each of the pages of this Agreement and the incorporated documents, as each of them may be updated from time to time. If you did not receive Sections 1 through 8 of this Agreement, Exhibit A, and, if applicable, the Lease Addendum, the EasyCare Addendum, the Voice Addendum, the Recovery Act Addendum and/or the Affordable Connectivity Program Addendum, the CAF-II Addendum, and/or the CAF-II Lifeline Addendum, DO NOT SIGN THIS AGREEMENT. Customer Information Authorized Signer Information (if Customer is not present at Installation) Customer Signature: Authorized Sig Date: Authorized Signer’s SignaturePrint Customer Name: DateStreet Address: By signature I affirm that the Customer has authorized me to establish an account in the Customer’s name. 1. The Service.
Appears in 1 contract
Sources: Customer Agreement