01/07/2013 10:06 813-806-7089 ADT SECURITY SERVICE PAGE 07/08
<br /> ..._.,.,..,�._�. ..�c,..:_�_._-.--•. _.. .................__. : ,...,...... ,,.,., ,,. �..�..___._,W.,_...�,_...,,.... �. _.......,,.. ,._,. ��.x .
<br /> SMALL SUSIN�SS CONTRACT I����������
<br /> • 5400UE00
<br /> �D E�^n•�v luy� � ACODUNT NO n�w�m sOt�6 L_LJ_1..�
<br /> AD7 LLC Buuinas Nsme $ � S N F�.b1�
<br /> dba ADT Secu�Fq/S�rvlc�s(^ADl"1 (•Gusyomer•nt"�"ar"me'or'my"1 �
<br /> offier Addras
<br /> � ��' .
<br /> Addreas
<br /> C1ty � � State� ZIP� :
<br /> bl� S
<br /> �m ,
<br /> www.MyADT.com
<br /> 1.800.ADT.ASAP" I Pretect�d Pnmim' 3 ¢'Tndltlonal Phone o Othw(qu�lifl� o'odkr pror�4uelNkdl
<br /> (t.sOD.2lB.z72n Phwro Qlequl�
<br /> Q Fp11n M b111Gy addras k tbe aame
<br /> 3 ein�no
<br /> • Addrcss
<br /> r
<br /> r �r-TI--J��Btlling Phone
<br /> � G�, State m ZIP L_1�W (Rsqulred)
<br /> � IF FAMILIARIZATION PERIOD IS REJECTED INI7IAL HERE�(see Parapraph B�of the Tmns and Cordkions for a�pianetwn)
<br /> s EMai�
<br /> iCommunicatiorn AuMorlaM{on:I euthwite AG?to provida me wkh Infermetlon and updrten ebout the securky sy�t�++end rrow ADT and third�party
<br /> S� preduets�nd servins te th�eonnee Inform�elon ded hy me.I m�y unwbsa5be or opt out by emailing dono�taorrtect�Oradtmm a by ulfing�
<br /> S 88&DNGADT(�8.862.�238)•InFNaI hcre .
<br /> � Cwifirm�tlon vf Appeir�untx I�uthorize ADT to eall me using an nrtom�ted relOny davke to delhrer a prc-reeorded mewsye m srt/co„firm
<br /> � appolrrlments end qwlde othar i�orm�tion or noLkes�bovt the slurm rysMm.t d�e tekphono number(s)proWded by me•lnitlel hero
<br /> � Ownership of System and Equipme�e: GD Cuttomer•Owned �AD7-0wned ...
<br /> VelYiCals �Reull Q Buslncu Services O P�om15�Mccs O Automotivdfnnrpwt�tbn
<br /> JM O Groceryl�ood O He�kh Sarvices O Restaurar� O whefwk O Other ,
<br /> I aeknowlNpo and ap��a aaeh oP.'tM foqowing:W this e.olK+aet eenskb of sbt(�WO�.�fore signieq eMs CentraR t h�w nad,underst�nd�nd
<br /> agn�to e�ch M�4�rery tn'tp of thh CornraeC NWudinq but no!limk�d te pa►epmphs C�nd E of the impor0�nt t�rms arM co�ditb�.(b)Th�initial
<br /> t�ttn ef ehk Cortvaet b thne(8��•(Q No NINmsyet�m on provide comp�tE�p�teetlorl er puan�e prov�M�n of bu a injury.Flres Aerods,
<br /> burykries,robbe�fa,mediui probNms�nd otFwr incidana�ro unpredicabl��nd annot Mwsys b�detM�d o�pavenad by�n aiarm ryr4ro.Hun�n
<br /> ertvr k alwhn poutbl�,aed tho raspone�Um�of po�ke.Hn and m�dkal ome►q��xY P�nnel is oubld�the aootrol of ADT.AbT moY not�eaeiw
<br /> denp siqn�lfr M eomrAUnkxtiom or pow�r B inqrrupted fo►e�ny rer�eon.(D)AoT neommMd:M�t�mtnwly t�se eM N�rm ayram montl+N�nd a�ry
<br /> tim�e I d��bIM*��.bY ea11Mg 1.800.ADt.l1SAR(k7 71de Co�mact I+aluins Rnal appiovail by�n ADT wtl�orit�dm�npv beion ADT maY
<br /> p►ovld�aM�pulpmont or nrvicss��nd if appreval 1�denl�d,th�this cont►xe wlll bs�ermlruted,and AD7's only obpgatlo�wRl b�to netlfy me of
<br /> sueh bertnin�tbn�nd nfund ae�r anau�rb I p�ld In�dvanu.
<br /> AMRlpfes�ntaYiw ��J �r� 'QI� '�'']V ,�WO"'pf� �red)� IDNo.�
<br /> �� IJ �
<br /> �u��Y Approval:Orlpina! neituoe Requhed
<br /> MM PD YY
<br /> iN5Ta1.LER aoTES(specG�l Insxru�tions/Wrections/G�o�s stree�
<br /> _ _.. � �,��a��, ...
<br /> . , , " =�:;,+,�,
<br /> � ,.r .: ' � � ��•r 'd�y ';h
<br /> .. _�.�..�. , . ., :4yH�,��:�.
<br /> • ,. . � � .� .. . ti'�'r��:r�
<br /> ..`�1: ' .. . :�7 J
<br /> .... �dir., y J• , � ''..i.,�','w;M•i:/'�.1�:
<br /> ..-_ �r' � ; ., , . . ,;�i;;'��:.,
<br /> — ,.!, � , , ,. „ �.,r.��.., .:
<br /> " (r� �
<br /> � ,.�::.�1.� � . ' „ .,,tt,,°i'4l�h:��
<br /> .r.S�- � � , �rr•,i,'4•.: �rn,�
<br /> ' , � , ; `i�'• ...
<br /> � � � '?wi , . :,j'r:;r'7: i
<br /> .I'�'�...1 . , f•V;:� .. . . . . ' ��.i•"•;:(�4. , .
<br /> '�'�'� ��'f�'�.� . . • •�'q. ,
<br /> , ="r�� '�'-•� . . .. . • . . , ,,,��:;'
<br />
|