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--------------------� <br /> ---------------------- i <br /> � � . , -�--�`�� ����-�� i����������i1i���� � <br /> RESIDENTIAL SERVICES CONTRACT � <br /> 5104UE12 � <br /> I <br /> CONTRACT ����j�� CUSTOMER JOB � LEAD � � <br /> DATE � 4�J� i� y i ACCOUNT NO � NO SOURCE � <br /> � � • I <br /> ADT Secur'rty Services, Inc. ("ADT") I�omer Name � <br /> Offlte Address �(•Customer' or "E" ar'me" or'my") � <br /> -��"/!'� Gt,�}.�.�� � <br /> i <br /> � <br /> 5T p f''�D ! <br /> � � ���Addrcn � <br /> TTG- �/17�i'�� � Cnv I <br /> �f�l��"���"�/ I 'State LL�' ZIP � � <br /> i Tax Exempt No. � <br /> � Proteded Premises' ��� <br /> I <br /> 1 Telephone •/�� Tax Expire Date m� � <br /> / ' � <br /> I <br /> �Trad'Rional Phone O Other (Qualifipd) O Other (Non-Qua(ified) I <br /> www.MyADT.com � <br /> 1.800.ADT.ASAP• Akernate <br /> (1.800.238,27Z� � Telephone � O Home �Cel1 O Work � <br /> � <br /> ]F FAMILiARIZATION PERIOD ISI Alternate j <br /> /'1 REJECTEDINfTIALFlERE Telephone2 OHome OCefl Owork � <br /> � J (see Paragraph 14 of the Ternss and � <br /> � Conditions tor explanation) E ��� I <br /> I <br /> I <br /> � .Communicaiions Authorization: 1 authorize ADT to provida me with infortnation and updates about the secuMty system and new ADF and third-party i <br /> products and xrvices to the contact fnforrnation provided by me. 1 may unsubsaibe or opt out by emailing donatrarrtact�AUT.mm or by calling � <br /> 888.DNC4ADT (888,362.4238). Initfal here � <br /> � � <br /> Conflrmation of AppoiMmeMS: I authorize ADT to wll me using an automated olling device to deliver a pre-recorded message to xUconflrm i <br /> � f appoi�tments and provlde other irrtormation and notices about ihe alarm rystem at the telephone number(s) provided by me. Initial herc I <br /> `l � <br /> � Alarm System Ownership: O Customer-Owned � ADT-Owned I <br /> - — ----- ---- -- - I <br /> I <br /> I AQCNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING; (A} TH15 CONTRACT CON515T5 OF SDC (6) PAGES. BEF�RE SIGNING THIS GONTRACT,.I I <br /> /'� HAVE READ, UNDERSTAPID ANO AGREE TO•EACN pND EVERY TERM OF Tt115 CONTRAC7; INCLUDING BUT NOT UMITED TO PARAGRAPHS 5 AND 18 OF I <br /> V � TI1E TERMSAND CONDfTIONS. (B) THE INITIAL TERM.OF THIS CONTRACT 1S THREE (3} yEqR$, (Q qpT IS NOT A SKUWTY CONSULTANT AND CANNOT I <br /> ADDRESS ALC OF MY POTENTIAL SECURITY NEEDS. ADT HAS EXPLAINEO TO ME 7HE FULL RANGE OF EQUtPMENT AND SERVICES THAT ADT CAN I <br /> 1 PROVfDE ME. qDORIONAI EQUIPJNENT AND SERVICfS OVER THOSE IpEN77R� IN THIS COMRACT ARE AyA1WgLE AND MAY BE PURCHASED FqOM I <br /> v ADT AT AN ADORIONAL COST TO ME. t HAVE SELECTED AND PURtNASED ONLY THE EQUIPMENT AND SERVKES IDENT1FlED IN THIS COriTRACT. (D) NO 1 <br /> ` 1 ALARM SYSTEM GW PROVIQE COMPLETE PFtO'lECT10N OR GUARANTEE PR#VENTION OF LOSS OR INJURY. RRES, FLOODS, BURytAR1E5, ROBBENIES, � <br /> ��� MEDICAL PROBLEMS /�ND OTHER 1NGDENTS ARE UNPREpICTABLE ANp CANNOT ALWAYS BE DEiEREq OR PREVENTED BY ADi AWiM SYSTEpIt. I <br /> `� HUMAN ERROR IS ALWAYS POSSlBLE, AND THE RESPONSE TiME OF POtJCE, FlRE AND MEDIGLL EMERGENCY PERSONNE�. IS OUTSIDE THE CONTRO{. I <br /> I�� OF ADT. ADT MAY NOT RECEIVE'ALARM'SIGNALS IF COMMUNICAFIONS OR POWER IS IMERRUPTED FOR ANY REASON. (� ADT RECOMMENDS THAT 1 1 <br /> AAANUALLY TEST ALARM SYSTEM MONTNLY AkD ANY TtME I CMANGE TElEPHONE SERYiCE, BY CALIJN6 1.800.ADT.ASAp OR BY IAGGING EN TO I <br /> �/ W W W.MYADT.COM. (t� THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AU7HORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIpMENT 1 <br /> � ON SERVICE5, AN6 IF APPROVAL IS DENIED, THEN THIS �ONTRACT WILL 8E TERMINAT6D, MfD ADTS ONLY OqLIGAt70N WILL BE 70 #ICTIFY ME OF { <br /> SUQ! 7ERMINATION AND RERIND ANY AMOUNT51 PA1D IH ADVANCE. � <br /> I <br /> ADT Repreut�tive Name � � <br /> �((�� Rep. License No. R i. ?�' /♦ I <br /> � _ (H Requlred} ID No. �'�rQ�r K.� � <br /> � Customer"s Approval: Oriqinai Signature Reyuirod (Mast matdi Custoiner Name In SeWm t ab e) i � ' I <br /> TS=CL � r.s� .,fy,�c/ �/ L'�V�1'X i j <br /> ALL W0� NOTiCE OF CAMGELLATION � <br /> PREVAI ' ���'�� TRA� AT, ANY TTME PRIOR TO MIDNtGHT OF THE THlRD BUSINE55 DAY i <br /> ON. 5EE THE,pTTACHED NOTICE OF CANCELLATION FQRM FOR AN EXPLANATIDN I <br /> CODE, �� �HG VERBALLY INFQRl1AED OF MY R1GHT T0 CANCEL AT THE TtME OP EXECUTION I <br /> C�TY O ���.OF THIS NOTICE.� � <br /> 1 <br /> • • - • • � � <br /> FINAN[IAL DISCLOSURE STATfMENT � <br /> , V 'THERE IS NO FiNANCE GHARGE OR GOST OF CREDff'(0% APR} ASSOQATED WITH THtS CONTRAGT. { <br /> ��_� f <br /> A: NVMBER OF +r ,/�� + 1 y "/ ,y ., - <br /> PAYMENTS FOR THE , B. AMOUNT OF EACH PAYMENT IS ��� J y TaTAL OF PAYMENTS FOA'THE INITIAL TERM 1S � �v� I <br /> p_ (NITqL TERM IS 36. (�'OTA O LY SERVICE CHARGE FROM BELOUVh � T�MES 8:) (E7CCLUSIVE OF ANY APPLICABLE TI1XE5, FEES, flNES I <br /> � c i >' ' . . �- _ _ aND RATE INQtEASE53 � <br /> LAIE G� -I E TO MY SELECTED BILLING ' -�-- � <br /> �; ����� Qp�1� ��E�Q �{ E�S�ANT Of SERVICE. MY FlRST BIWCHARGE WILL i PREPAYMENT - IF I PREPAY THE � SEE SEC71pN5 2, 7, 45 RND � <br /> Sl�I�Itf�qoE s YWk7k'R Y VICE BEG1N5. ADT MAY IMPOSE A TOTAL OF PAYMEWrS PRIOR 70 19 OF THIS CONTRACT FOR I <br /> GE ON EA ENT THAT !S MORE THAN TEN (10j THE END OF THE INlT1AL TERM I ADPRIONAt INFORMATIpN � <br /> �C-�`� ���� 7HE MAX AMOUNT PERMITfED BY WW, BIIf IN pp aR REF ND. ERE 75 Ho ANO C���ON DEFAUL7 I <br /> NO EVENT YYILL 7H[S AMOUNTfXCE 65.00. i <br /> , <br /> � <br /> � <br /> 1 nf fi _...,..._._....,as �..-• eaoae enr no,;.,nr. rA<..n,e.a in�,,,, .i <br />