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<br /> . , SMALL BUSINE55 CO�TRA� IIII��I�II�NIIIII�L IIl�IIIIIII�
<br /> 540dU E00
<br /> CONTD TCTE�-�' � LJ—Y AC OUN NO LI-II lICO�� JOB LEAD
<br /> � Na� SOURCE CC�
<br /> • • •
<br /> ADT LLC �Buslness Piame
<br /> dba ADT Seturity Services("ADT'�����tomer'or'I"or'me'or"my^) C E 7 S(=��� `" > t�; A i^G� F
<br /> Office Address -
<br /> S�1�1 l C.J c.J��—e!5 '
<br /> Sk;�rc 1 UU U
<br /> �Premises'
<br /> -r-qy�,�� ` +,L I Address � 1�L L L. �
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<br /> 33C�3k c«y �? � � R i � t �s State� ziP S z
<br /> Responsible A C . �' p �
<br /> Party Name f2
<br /> � www.MyADT.com _
<br /> 1.800.ADT.ASAPm I Protected Premis
<br /> (1.800.238.2727) �Pfione(Require � ( �Traditional Phane O Other(QualHiecn O Other(Non-Qualified)
<br /> O Fill in if billing address is the same °js Z Z-5$�� ��
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<br /> � Bilfing
<br /> Address
<br /> � City Bil(ing Phone
<br /> State m ZIP� (Requ(red)
<br /> � IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE��="���:'"(see Paragraph 63 of the Terms and Conditions for explanation)
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<br /> � Communications Authorizatlon:I authorize ADT ta provide me with information and updates about the security rystem and new ADT and third-party
<br /> products and services to the contact information erovided by me.I may unsubscribe or opt out by emailing donotcontact�adt.com or by�alling
<br /> 888.DNC4ADT(888362.4238}.Initia(here�`-r�3{?="srsc
<br /> � �
<br /> `� Confirmation of AppoiMmenis:I authorize ADT to call me using an automated calling device to deliver a pre-recorded message to seUconfirm
<br /> � appointments and provfde other information or notices about the alarm rystem at tfie teiephone number(s)provlded by me.Initial here k�%
<br /> � Ownership of System and Equlpment: �Customer-Owned •ADT-Owned
<br /> NVerticals O Retail O Business Services O Personal Services O Automotivelfrensportation �
<br /> � O Grocery/Food O Health Services i O Restaurantr O Wholesale O Other
<br /> � I acknowledge and agree to each of the following:(A)this Gontract consists of six(6)pages.Before signing th(s Contract,I have read,understand and
<br /> agree to each and every term of this Contract,including but not Iimlted to paragraphs C and E of tha important terms and conditions.(B)Tha initial
<br /> term of this Contract is three(3)years.(C)No alarm system wn provide complete protection or guarantee prevention of loss or injury.Flres,floods,
<br /> burglaries,robberies,medicat problems and other incidents are unpredictable and cannot always be detected ar prevented by an aiarm rystem.Human
<br /> � error Is atways possible,and the response tlme ot police,fire and mediwl emergenry personnel is outside the controt of AD7.ADT may not recelve
<br /> alarm signals if communications or power is Interrupted tor any reason.(D)ADT recommends that I manually test the afarm rystem monthly and any
<br /> time I change telephone service,by calling 7.800.ADT.ASAP.(E)This Contract requires final approval by an AD7 authorized manager bafore ADT may
<br /> provide any equipment or services,and if approval is denied,then this contract w111 be terminated,and ADT's on(y obligation wil!be to notify me of
<br /> such tennination and refund any amounu 1 paid in advance.
<br /> ADT Representative —
<br /> �,��✓� ��CL,.`•��i '�2^�--)i-1 -y(o�l� Rep.License No.� Re
<br /> (If Require� ID Na. �$
<br /> Customer's Approval:Orlginal Signature Required
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<br /> INSTALLER NOTES(Special Instructions/Directions/Cross Street)
<br /> ZS �t 3�-
<br /> 1 of 6 Office Copy �ZD�Z ADT LLC dba ADT Securiry Services.
<br /> All rights reserved.(06/12)
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