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| P.O. Box 2174 * Asheville, NC 28802 |
1-888-2ASPIRE |
| LISTED
Name
Mr.
Mrs.
Ms.
Miss
|
| SERVICE ADDRESS | STREET |
APARTMENT/LOT NUMBER |
|
| CITY |
STATE |
ZIP |
|
BILLING
ADDRESS
|
| BILLING ADDRESS | CITY |
STATE |
ZIP |
PHONE
NUMBER WHERE YOU MAY BE REACHED: LEAVE A MESSAGE AT THIS NUMBER:
OR
|
HAVE
YOU EVER HAD SERVICE WITH ANY OF THE FOLLOWING PHONE COMPANIES? |
BellSouth/AT&T North State
Verison
Sprint |
IF
SO, LIST PREVIOUS PHONE NUMBER: |
| - |
|
PLEASE
PROVIDE
DRIVING
DIRECTIONS |
SERVICES
OFFERED |
|
|
BASIC
LOCAL PHONE SERVICE |
$
52.00 |
|
|
INITIAL
HOOK-UP /PROCESSING FEE |
$
19.00 |
|
|
1ST MONTHS
SUBTOTAL |
$
71.00 |
|
OPTIONAL
SERVICES
Place a check
mark in the box to the left of the optional service you want.
Then add the costs in the box on the right.
|
|
CALL WAITING |
$
5.00 |
$ |
|
|
|
THREE-WAY CALLING |
$
5.00 |
$ |
|
|
|
CALL RETURN – Per
Line |
$
5.00 |
$ |
|
|
|
CALLER I.D. |
$
10.00 |
|
|
|
UNPUBLISHED NUMBER
(PRIVATE) |
$
5.00 |
|
||
|
|
|
OTHER
___________________________________ |
$
|
$ |
|
|
PROCESSING FEE- Per Optional Service |
$5.00 |
$ |
|
ROLLOVER?
YES NO
|
SUB-TOTAL FOR
OPTIONAL SERVICES |
$ |
||
|
|
TOTAL FOR 1ST MONTH & OPTIONS:
|
$ |
||
| - |
|
A
MONEY ORDER FOR THE TOTAL
AMOUNT DUE,
MUST ACCOMPANY THIS ORDER. |
Aspire Telecom
will call you when your phone service is connected. Please allow 7-10 business days for this process.
Telephone equipment is not provided as part of this agreement.
Aspire is not responsible for the internal wiring, jacks or any other
telecommunications devices or data connections.
If you have any questions, please call us at the number listed above or
locally at 828-236-0406. By signing
below, you stipulate that you understand these statements and agree to abide by
the conditions outlined on both sides of this form.
APPLICANT’S SIGNATURE
DATE
AGENT “Thank
you for choosing Aspire Telecom. We
appreciate your business.”
Aspire
Telecom, Inc.
Service Agreement
1.
By signing this Agreement, the
Customer acknowledges and agrees that he or she has read this Agreement in its
entirety or has had the Agreement read to him or her and that the Customer fully
understands and agrees to the terms and conditions of the Agreement.
2.
The Customer understands that this Agreement provides basic local telephone service for local calling within the
Customer's basic local service area. This Service does not allow the Customer to
dial or use local or long distance
directory assistance or operator
services and does not allow the
customer to place long distance calls
through standard dialing patterns (1+ and 0+ calls) or to place calls to the
expanded local calling area using standard dialing patterns. Upon request of the
Customer, the Company will provide, or arrange for provision of, Prepaid Long
Distance Services and/or a local telephone directory to the Customer.
There is an additional charge for Prepaid Long Distance Services (see L/D
Agreement).
3.
The Customer requests that the Company establish Service in his or her
residence. The Customer understands that any questions about the Service should
be directed to the Company at the address shown on the top of this agreement or
by calling the toll‑free number shown. The Company shall not be liable for
any damages whatsoever associated with service, facilities, or equipment which
the Company does not furnish or for any act or omission of any other company
furnishing services, facilities, or equipment to the Customer in connection with
the Service.
4.
The Customer agrees to pay the Monthly Service Fee, which includes all
applicable taxes and regulatory fees, as shown below, as well as touch tone
service and any local 911 surcharge. The Monthly Service Fee does not include
fees for optional services ("Optional Services"), such as Call
Waiting, 3‑Way Calling, etc. If
the Customer selects any Optional Services, the fees for these Optional Services
as shown below, are in addition to the Monthly Service Fee.
5.
If the Customer wishes to continue the Service after the first month, the
Customer must pay the Monthly Service Fee each month.
The Customer’s due date will be the same day each month. A
bill will be mailed to the customer approximately 14 days prior to their due
date. Terms of payment and
due dates will be clearly shown on
the customer’s bill. If payment is not
received by the Company or one of it Authorized Agents by the due date a $10.00
late fee will be assessed. If
payment in full, including the $10.00 late fee, is not received within 7
days after the due date Service will be suspended.
Once suspended a $25 reconnect fee will be assessed. Once suspended, the
customer has 5 days to make payment in full including the $25 reconnect fee or
they will be disconnected. If payment in full is not received before the
disconnect date, service will be discontinued. The monthly invoice will also
include any long distance charges that have accrued to the Customer's account.
The Customer agrees to pay his or her monthly bills by making payment by mail
(to the address shown at the top of this page) or in person to any Authorized
Agent. The only acceptable form of payment (payable to Aspire Telecom, Inc.) is a money order. Personal
checks will not be accepted. Late
fees and reconnect fees are subject to change.
6.
The Customer agrees to pay an Initial Activation Fee, as shown below, in
addition to the first month's Monthly Service Fee. The Activation Fee will be
fully refunded to the Customer if the company is unable to provide Service to
the Customer (or for any other reason) before the Customer begins receiving
Service. After the Customer begins receiving Service, the Activation Fee is not
refundable.
7.
The fees and charges shown on the
reverse side are subject to change. These
fees and charges include applicable regulatory fees and taxes.
8.
The Service provided to the Customer by
the Company will restrict the
Customer from placing direct‑dialed long
distance calls (1+ calls) and
operator‑assisted calls (0 and 0+ calls) such as collect,
person‑to‑person, and third number billed calls. However, in the
event any long distance charges do accrue to the Customer's account, the
Customer agrees to pay all such charges promptly to the Company. No additional
punitive charges shall be imposed by the Company for such long distance charges,
besides the long distance charges themselves and any applicable taxes and fees. However,
should the Customer not pay these long distances charges, the Customer's Service
will be subject to disconnection.
9.
The Customer understands that by paying the monthly bill, he or she is
not obligating themselves to purchase additional periods of
service, beyond the service currently billed. The Company will not impose
a charge for the termination of basic local telephone service.
10.
The Customer agrees to return this completed Agreement along with the
First Month's Standard Service Fee, Activation Fee, and Optional Service fee(s)
and installation charge(s) (collectively, the "Initial Payment") to
the Company at the address shown at the top of this page. Under normal
circumstances, Customer's telephone service will be connected in 7 to 14
business days from the time that the Company receives the signed, completed
Agreement and the Initial Payment. The Company will not provide local telephone
service to the Customer until the Company or its authorized agent receives both
the Initial Payment and a signed copy of this Agreement.
11.
The Customer understands that the Life Line and Link‑Up programs
may be available to qualifying subscribers who contact their local social
services agency.
12.
The Customer understands that he or she is entering into an agreement
with the Company to act as his or her communications representative for all
negotiations with the applicable primary local exchange provider of
telecommunications services. Under the terms of this Agreement, the Customer
gives the Company the authority to handle all negotiations for service requests
and to issue orders on the Customer's telephone service at the address provided
by the Customer on this Agreement and on the telephone number issued to the
Customer by the Company until further notice. The Customer understands and
agrees that this Agreement does not prevent the Company from changing the
underlying local exchange service providers.
13.
The Customer shall indemnify, defend, and hold harmless the Company from
and against all claims; actions; damages; liabilities; and costs and expenses,
including, but not limited to, any direct, indirect, incidental, special,
consequential, exemplary or punitive damages to the Customer and including
reasonable attorney's fees for any claim of any nature whatsoever brought by a
Customer with respect to any service provided by the Company or with respect to
the Company's termination of service to a Customer affected in accordance with
pertinent rules of the Utilities Commission. Except as provided below, the
Company shall not be liable for any delay or failure of service due to causes
beyond its control, including, but not limited to, acts of God, fire, flood,
explosion, or other catastrophes.
14.
The liability of the Company for damages arising out of interruption of
the Customer's Service not caused by the negligence of the Customer shall be no
more than an amount equal to the proportionate charge to the Customer for the
period of Service during which the interruption occurs. The Company has no
liability for damages caused by the negligence of the Customer.
Aspire
Telecom, Inc, P.O. Box 2174,
Asheville, NC 28802
Office
hours 9am-6pm EST; Monday through Friday.
Copyright © February 2008, Aspire
Telecom, Inc.