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<br /> � � SMALL BUSiNE55 CONTRACT ��n ,��� �Uj4 a�`'� II����I�IIIIII�����Il�lnnllll I
<br /> r���-G�i Sz.�� ss° I 5400UE03 I� I
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<br /> CONTRqC7 �°-�.- ` f '� ACCOUNTNO � � y �D � I
<br /> bqTE �C � O m SOURCE� I
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<br /> ADT LLC I I
<br /> dba ADT Security Services("ADT'7 i Business Name n �. i! ;
<br /> Office Address ,�Customer'or"I'or"me'or'my°) ��� �� �7 � � �� 1.�i� j
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<br /> , ' ' _" ._ _.�.c�_ i f
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<br /> `'""1.,- ✓ I Premises' ^ I
<br /> i Address ' �� � ~ 5�' �s S � ,f'i C fq L1 �'..�' �
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<br /> , ;� C m�_,{,�.� f'
<br /> ���!�= . j Gty �`- '-i :r ;(? �-'r � ! l, State�L7 ZIP S 5 _1�7 I
<br /> �Responsi6fe r� �+ �
<br /> �Party Name � ''- � ��i i L � (2 7 �� �
<br /> � r, I
<br /> i�� Im� �/ �
<br /> �Tax Exempt No. Tax Expire Date I I V m� I
<br /> www.MyADT.com ; I
<br /> 800.ADT./XSAP� �Protected Premises' �. � -� , i
<br /> (800.238.2727) ;Phone(Required) t� � --' ; G�`� � O �Treditional Phone O Other(Quahfied) O Other(Non-Qualified)
<br /> O Fill in if Billing address is the same , '-`7��'.��'-4`'O"�z I`
<br /> Billing �
<br /> Address �
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<br /> (�'� I
<br /> CiTy Billing Phone �
<br /> _ State ZIP� (Required) �
<br /> IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE � � ^ -�-- I
<br /> _.__..___._____ (see Paragraph 83 of the Terms and Conditions for explanation) i
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<br /> EMAIL `� � �=� � � ��r '� v .� Fi L ^rS i. Y A }�G�G . L G � 1
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<br /> Communications Authorization:I authorize ADT to provide me with information and updates about the securiTy system and new ADT and third-party
<br /> products and services to the contact information provided by me.I may unsuburibe or opt out by emailing donotcontactQadt.com or by calling
<br /> 888.DNC4qpT(888362.4238).Initial here �
<br /> If I have provided or do provide ADT with a phone number,including but not limited to a cell phone number,a number that I later convert to a cell I
<br /> phone number,or any number that I subsequently provide for billing purposes,I agree that ADT may contact me at this/these number(s).I also agree �
<br /> to receive calls and messages,including pre-recorded messages and calls and messa es from automated dialin I
<br /> 9 g rystems,at the number(s)provided.
<br /> Ownership of System'a'nd Equipment: O Customer-Owned 6ADT-Owned .� ,j
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<br /> Vertitals O Retail O Business Services O Personal Services O Automotive/Transportation � �
<br /> O Grocery/FOOd O Health Services O Restaurants O Wholesale O Other i
<br /> I acknowledge and agree to each of the following:(A)this Contract consists of six(6)pages.Before signing this Gontrect,I have read,understand and I
<br /> agree to each and avery term of this Contract,includ'eng but not limitad to Paragraphs C and E of the important terms and conditions.(B)The inkial I
<br /> term of this Contract is three(3)years.(C)No alarm system can provide complete protection or guarantee prevention of loss or injury.Fires,floods, I
<br /> burglaries,robberies,medical problems and other incidents are unpredictable and cannot always be defected or prevented by an alarm system.Human i
<br /> error is always possible,and the responsetime of police,ftre and medical emergency personnel is outside the control of ADT.ADT may not receive
<br /> alarm slgnals if communiwtions or power is intercupted for any reason.(D)ADT recommends that I manually test the alarm system morkhly and any
<br /> time I change telephone service,by calling 800:ADT.ASAP.(E)This Contract requires flnal approval by an ADT authorized manager before ADT may I
<br /> provide any equipment or services,and if epproval is denied,then this coMract will he te�minated,and ADT's only obligation wi[I be to notify me of I
<br /> such termination and refund any amounts I paid in advance, �
<br /> ADT Representative �
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<br /> '.'�.-.'?^ _�., �. "��""7- ti,• �,�. Rep License No. Rep �
<br /> � , ��� (If Required) ID No.��� �
<br /> Custome�s Approval:Original5ignature Required I
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<br /> NOTES
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<br /> 1 of 6 02073 AOT lLC dba ADT Security Services. �
<br /> Administrative Copy All rights reserved.(02/13) �
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