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-----�.�-- Z�� r�'v�s--_-------- � � _ , RESIDENTIAL VIC CONT�,�,R`� IIIIIIIIIIIINIIII�II�IIIIIIIIUII�I�IIIIII � 5104UE12 CONTRACT ' CUSTOMER / JOB � LEAD � DATE ACCOUNT NO NO SOURCE • • • ADT Security Services, Inc (°ADT") �urtomer Name Office Address ('Customer' or'I' or'me" or'my') 7/l �T�esA .sT"�= /�D ��, /� �� Address �L ��/.� �,�, - /,��S�L�-�/ State � ZIp ��/�� Tax Exempt No. / J Protected Premises' /��II� ��f � Telephone �/� Tax Expire.Date m/ I I I� O7raditional Phone c{►Other (Qualified) O Other (Non-Qualified) www.MyADT.com 7.800.ADT.ASAP� Alternate (1.800.238.2727) Telephone 1 O Home Ey Cell O Work IF FAMILIARIZATION PERIOD IS Alternate REIECTED INITIAL HERE Telephone 2 o Home O Cell �work (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Communications Authorization: I authorize ADT to provide me with information and updates about the securiTy system and new ADT and third-party productr and services to the contad information provided by me. I may unsubscribe or opt out by emailing donotcontact�ADT.com or by calling 888.DNC4ADT (888362.4238). Initial here Confirmation of Appointmentr: I authorize ADT to call me using an automated calling device to deliver a pre-recorded message to seUconfirm appointmenu and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: OCustomer-Owned OADT-Owned 1 ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT; I HAVE READ, UNDERSTAND AND AGREE TO EACH AND EVERY TERM OF THIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF THE TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT IS NOT A SECURITY CONSULTANT AND CANNOT ADDRESS ALL OF MY POTENTIAL. SECURITY NEEDS. ADT HAS EXPLAINED TO ME THE FULi RANGE OF EQUIPMENT AND SERVItES THAT ADT CAN PROVIDE ME. ADDITIONAL EQUIPMENT AND SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT ARE AVAILABLE AND MAY BE PURCHASED FROM ADT AT AN ADDITIONAL COST TO ME.1 HAVE SELERED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN THIS CONTRACT. (D) NO ALARM SYSTEM CAN PROVIDE COMPLETE PROTECTION OR GUARANTEE PREVENTION OF LO55 OR INJURY. FIRES, FLOODS, BURGLARIES, ROBBERIES, MEDICAL PROBLEMS AND OTHER INCIDENTS ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVENTED BY AN ALARM SYSTEM. HUMAN ERROR IS ALWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CAWNG 1.800.ADT.ASAP OR BY LOGGING IN TO WWW.MYADT.COM. (F) THIS CONTRAR REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICES, AND IF APPROVAL IS DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBIJGATION WILL BE TO NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. ADT Repr ntative Na � _�/ � Rep. License No. Rep. ��/Y � �� (If Required) ID No. '�Z � Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) �� I, THE CUSTOMER, MAY CANCEt THIS TRA�ISA'CTION AT ANY TIME OR TO MIDNIGf9T OF� THE THIRD BU�INE55 DAY �} AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. • • •- • • •-• F NCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE R COST OF CREDIT (0°/, APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF ' 9 � PAYMENTS FOR THE g, pMOUNT OF EACH PAYMENT IS ��+ •� TOTAL OF PAYMENTS FOR THE INITIAL TERM IS �� T INITIAL TERM IS 36. (70TAL MONTHLY SERVI�E CHARGE FROM BELOW) �A• TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, fINES AND RATE INCREASES) LATE CNARGE - PAYMENT IS DUE PURSUANT TO MY SELERED BILLING I —'-- -- FREQUENGY, PRIOR TO THE START OF SERVICE. MY FIRST BILUCHARGE WILL PREPAYMENT - IF I PREWAY THE SEE SECTIONS 2, 7, 15 AND BE SENT/MADE SHORTLY AFfER MY SERVICE BEGINS. ADT MAY IMPOSE A TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRAR FOR ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) THE END OF THE INITIAL TERM ADDITIONAL INFORMATION DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN OF THIS CONTRACT, THERE.IS NO ABOUT NONPAYMENT, DEFAULT NO EVENT WILL THIS AMOUNT EXCEED 55.00. PENALTY OR REFUND. AND ACCELERATION. � . � .. �