Digital Phone with Canopy Service: $19.99 / Month Application for Digital Phone Service $24.95 / Month for stand-alone phone

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1 Digital Phone with Canopy Service: $19.99 / Month Application for Digital Phone Service $24.95 / Month for stand-alone phone Name: AR# Mailing Address: City: State: Zip: 911 Address: City: State: Zip: Driving directions: Contact Telephone#: Cell # Work # *****We must have a different contact # other than the # we are programming!!********** Social Security #: Drivers License#: State CALLING FEATURE SELECTION INFORMATION: FEATURES: The following calling features are automatically added to your telephone line FREE of charge. Usage instructions are attached. 1) Call Waiting 2) Caller ID 3) Call Forwarding 4) Conference Calling 5) Speed Dialing 6) Caller ID Blocking 7) Caller ID Release 8)Voice Mail Gold 9) Call Forward Busy 10) Call Forward Don t Answer Unlimited Long Distance in the Continental US (excluding directory assistance) Do you want to port your current phone #? (yes, no ) What is the #? Copy of Bill: ********DO NOT DISCONNECT YOUR TELEPHONE SERVICE FROM YOUR CURRENT PROVIDER*********** Equipment Required: Premium Router Purchase for $ Rent $9.99 per month ATA (to be returned upon disconnect or $ Charge) Basic Router Purchase for $ Rent $4.99 per month UPS Purchase for $ Listing Options: Yes No Please list name in the Telephone Directory as follows: If No, a $0.50 per month charge applies. Yes No Please list this name with Directory Assistance. If No, a $0.50 per month charge applies. If you select NO your number will not be released for Caller ID purposes and Private will show on the called parties phone. If you select YES here, your number will be provided to Caller ID systems. Some subscribers will have their incoming calls blocked to Private calls. Credit Card Information We can accept your monthly payment by credit card. Please provide the following information. Name on Credit Card: Credit Card Type :( circle one) Master Card Visa Discover Credit Card #: Exp Date: Date for Monthly Reoccurring Payment (Choose a date between the 3 rd & 10 th ): By completion of this application or the use of the services provided by Jade Communications the customer agree to pay all charges within 10 days of issuance. If collection or legal action occurs the applicant agrees to pay the outstanding charges plus 50% of the outstanding bill for collection plus all reasonable attorney fees and court costs used to collect the amount. Signature Date:

2 THIS PAGE FOR GoJade.org USE ONLY (Internal Use) Application Copy of Qwest bill (for porting #) Placed in AP(Voic Placed in AP (CNAM) Placed in Syniverse (LIDB) Placed in OSC What type of internet service do you have? How many computers do you have with internet access? Do you have a router? Date Installed:... DPS Access: IP Address:(for internet access) Notes: Phone # GWL UID Equipment Used: Router Password: ATA Hours on job: 911 completed Date Completed: Date completed Person Doing Work: Person doing work Intrado- 911

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4 Important Calling Information including 911 We are pleased to offer you digital phone service and want to take this opportunity to advise you of certain calling features and 911 capabilities. Your safety and that of your family and friends are important to us at Jade Communications. While we hope that the occasion never arises where our Enhanced 911 feature is needed, in case it is, we want to remind you of both its capabilities and any limitations associated with its use. The Federal Communications Commission (FCC) has asked the industry to make sure you understand this important information about digital phone service. Jade Communications Digital Phone will not function (regular or 911 calls) if Jade s equipment fails or is relocated from the current premises or tampered by the customer. Additionally, regular calls and 911 calls will not function if the Jade equipment is interrupted or not functioning for any reason or if the customer s power is non-functional. This may include, but is not limited to, power outages lasting beyond the current backup provided by Jade Communications or network outages just like traditional telephone service. The service agreement is violated if the customer s equipment is moved from the physical location where it was originally installed. This will cause 911 communications to be misdirected to an incorrect emergency services responder. The customer is totally responsible for all power at the customer s location. Since power outages do occur, Jade Communications recommends that an Uninterrupted Power Supply, and surge arrestor be purchased, installed and maintained on the high speed internet circuit which is connected to the ATA and telephone. All wires from other telephone companies connected at the interface box located outside must be disconnected. We hope this information will assist you in using your Digital Phone Service to its fullest potential. Please take a minute to acknowledge your understanding and receipt of this information by signing below. Be advised that any services provided through this equipment are not intended to replace or be a substitute for primary line voice services or Plain Old Telephone Service (POTS) and are not meant to provide guaranteed 911 or E911 services or to permit access to 411 directory assistance services. Your service provider, not Motorola, is responsible for the provision of Voice over IP (VOIP) telephony services through this equipment. Motorola shall not be liable for, and expressly disclaims, any direct or indirect liabilities, damages, losses, claims, demands, actions, causes of action, risks, or harms arising from or related to the services provided through this equipment. Important: be aware that you will not be able to make any calls using this Voice over IP (VOIP) device if your broadband connection is not functioning properly. You will also not be able to make any calls using this Voice over IP (VOIP) device if you have lost electrical power. Thank you for your continued business, Jade Communications, LLC I understand the above information about my Digital Phone Service. Signature: Date Print Name: 911 Address: Phone Number:

5 CUSTOMER COPY Customer Name: Customer Address: City, State, Zip: Telephone Number: Phone Book Listing: Important Calling Information including 911 we We are pleased to offer you digital phone service and want to take this opportunity to advise you of certain calling features and 911 capabilities. Your safety and that of your family and friends are important to us at Jade Communications. While hope that the occasion never arises where our Enhanced 911 feature is needed, in case it is, we want to remind you of both its capabilities and any limitations associated with its use. The Federal Communications Commission (FCC) has asked the industry to make sure you understand this important information about digital phone service. Jade Communications Digital Phone will not function (regular or 911 calls) if Jade s equipment fails or is relocated from the current premises. Additionally, regular calls and 911 calls will not function if the Jade equipment is interrupted or not functioning for any reason. This may include, but is not limited to, power outages lasting beyond the current backup provided by Jade Communications or network outages just like traditional telephone service. The service agreement is violated if the customer s equipment is moved from the physical location where it was originally installed. This will cause 911 communications to be misdirected to an incorrect emergency services responder. The customer is totally responsible for all power at the customer s location. Since power outages do occur, Jade Communications recommends that an Uninterrupted Power Supply, and surge arrestor be purchased, installed and maintained on the high speed internet circuit which is connected to the ATA and telephone. All wires from other telephone companies connected at the interface box located outside must be disconnected. We hope this information will assist you in using your Digital Phone Service to its fullest potential. Thank you for your continued business, Jade Communications, LLC

6 FEATURE DIRECTIONS: CALL FORWARDING: Automatically forward your calls to another location when you plan to be away from your telephone for an extended period of time or if you do not wish to receive any calls. Note that you, not the originating party, are billed or any toll charges when the forward-to-number is outside your local area. 1 Dial *72 and wait 4 seconds for a dial tone. 2 Dial the forward-to-number. When the station to which calls are to be forwarded answers, the feature is activated. If the station does not answer or if it is busy, you may hang up and repeat the previous steps. If this is done within 2 minutes of the original attempt, you will hear two beeps, indicating that the call forwarding feature is now in effect. 3 To deactivate call forwarding and restore normal service, dial *73 and wait 4 seconds for 2 bursts of dial tone, then hang up. All subscribers may avoid the time out period by dialing an octothorp (#). THREE WAY CALLING (3 PARTY CONFERENCE): Three way calling allows you to have two other parties on the line with you simultaneously. 1 Depress and release the hook-switch to put the original party on hold. Listen for three bursts of a dial tone followed by a steady dial tone. 2 Dial the number of the third party. When this party answers, you can talk privately. When you are ready to establish the conference connection, depress and release the hook-switch. 3 When the originating party hangs up, all parties are disconnected and the call is completed. SPEED DIALING: Program your phone to dial frequently called numbers with fewer keystrokes. Up to 8 numbers may be programmed. 1 Dial *74 and wait 4 seconds for a dial tone. 2 Dial a code number (use a number between 2 and 9 inclusive). 3 Dial the directory number to be stored with the corresponding code. Wait 4 seconds for 2 bursts of dial tone, then hang up. 4 Repeat steps 1-3 for each number to be stored, using a different code each time. You may use these steps to replace previously stored numbers. 5 To use speed dialing, dial the selected code number and wait 4 seconds for the call to be placed. CALL WAITING: Call waiting allows you to be notified of incoming calls while you are engaged in a conversation. Using the steps below, you can answer the incoming call without terminating your existing conversation. 1 An alert tone gives notification of an incoming call. To answer the call, depress and release the hook-switch. This puts the original party on hold, and you are then connected to the calling party. 2 To alternate between calling parties, depress and release the hook-switch. 3 If you wish to end the original conversation when you hear the call waiting tone, simply hang up. Your call then rings and you are connected to the calling party. CALLER ID RELEASE: If you choose not to be listed in Directory Assistance your phone listing for Caller ID systems will be listed as Private instead of releasing your phone number. Some people have their phones blocked to accept calls from Private callers. If you are listed as Private and desire to have your number released for one call, please follow the directions below prior to placing the call. 1 Dial *82 to cause your number to appear on the calling party s telephone or Caller ID system. CALLER ID BLOCKING: If you choose to be listed in Directory Assistance your phone number will be provided to Caller ID systems. Caller ID Blocking allows you to prevent your number from being displayed on other Caller ID telephones on a per-call basis. In lieu of your number being displayed, the word Private will appear instead. Please follow the directions below to block your number from being displayed prior to making your call. 1 Dial *67 to cause a Private to be displayed on the calling party s telephone.

7 Installer Date Time Today s Date Jade Rep. Application for Canopy Wireless Internet AR# By filling out this application, you agree to a credit check which is required for service. If the credit check is not passed, there will be a deposit of $ The deposit will be returned to your account after paying the bill on time every month for 12 consecutive months. If the Installer shows up at your location to do the Installation and you are not there or you change your mind-there will be a trip charge assessment. Name: Mailing Address: City: State: Zip: Physical Address: City: State: Zip: Driving Directions: Send monthly statements via: Billing Address Regular Mail Billing Home Telephone # Employer Work Telephone # DOB: Social Security # Mother s Maiden Name Drivers License # State Mbps DOWN Mbps UP INSTALL FEE PRICE UPGRADE FEE No Contract Add upload- up to 5 Meg $12.00 per 1 Meg Amount Meg Price Add upload- after 5 Meg $50.00 per 5 Meg Amount Meg Price Premium Router( >3 & <6 wireless connections) $ plus tax to purchase $9.99 per month rental Basic Router(< 3 Wireless connections) $ plus tax to purchase $4.99 per month rental WPA Password Request: (Router password) SecureIT Plus- Antivirus Install by Jade $5.95 per month $3.95 Self Install $11.95 What equipment are you going to connect to the Canopy Service? (Please circle) 1 computer, more than 1 computer, wireless computer, router, other devices: ACCOUNT INFORMATION: address:gojade.org

8 addresses can be 2 to 18 characters. Passwords need to be 8 to 20 characters and must have 1 number, 1 special character, at least one upper-case letter and one lower case letter. Primary Password: Equipment pick-up Fee $95.00+If customer does not bring all equipment back within 10 days of cancellation. I agree to pay all charges within 10 days of issuance and to pay all reasonable costs of any collection agency (up to 50 percent of the outstanding bill), attorney, court or any other miscellaneous fees used by Jade Communications to collect past due amounts. Late charges will be applied if payment is not received by the 10 th of each month. ********There will be a service charge applied to all returned checks and/or credit/debit cards or Electronic Fund Transfer Transactions******** Customer Signature: Date: Referred By THIS PAGE FOR USE ONLY (Internal Use) Items Date Initials 1. Checked Credit Information Score 2. Collected installation fee Check Cash C/C 3. Installation scheduled Installer Date/Time 4. Programmed Radio ATA Switch Router 5. Assigned AR#/Phone# to user account 6. Work Order 7. Wireless Agreement 8. Posted Account in the AR Features File 9. Activated account in Admin Tool 10. Verified Login Information User ID Password 11. Entered IP Address in IP Table /Admin tool 12. Contacted customer to inform of activation 13. Stopped BTC features if any NETWORK INFORMATION IP ADDRESS:... DEFAULTGATEWAY:... SUBNET MASK:... Tower Site: Color Code:

9 DNS: nd DNS: Readings Uplink Efficiency Downlink Efficiency Jitter RSSI Distance (90% or >) (90% or >) (0 4) (-40 80) WIRELESS INTERNET SERVICE AGREEMENT This Subscriber Agreement ( Agreement ) is made between Subscriber and Jade Communications, for the provision and use of wireless Internet service (the Service ). 1. THE SUBSCRIBER.. The Subscriber is at least 18 years of age, is legally able to enter into contracts and is responsible for this Subscriber account. Multiple members of the same household as Subscriber may share the use of Subscriber s account. Subscriber shall supervise and be responsible for any use of the Service by other users of the account. Subscriber shall pay all fees, taxes, charges and other expenses incurred in connection with the account. 2. THE SERVICE. The Service consists of high-speed data communications. The Service may contain material that is unsuitable for minors (persons under 18 years of age). 3. CHANGES TO THE SERVICE. Provider may at any time change this Agreement, including pricing and billing terms. Provider may discontinue, add or revise any aspect of the Service in its sole discretion and without notice. In the event that Provider changes this Agreement, the Service or related pricing or billing terms, Subscriber may immediately terminate this Agreement. Use of the service after any change constitutes acceptance of such change. 4. FEES & PAYMENTS. Subscriber shall pay all taxes, fees, charges and other amounts for the Service at the rates in effect for the current billing period. Provider shall make available to Subscriber a statement for each billing cycle showing payments, credit purchases and other charges. Payment is due in full each month. If payment is not received before the next statement, Subscriber may be charged interest on the delinquent balance at the rate of one and one-half percent (1.5%) per month, prorated on a daily basis. Credit amounts shall not accrue interest. Subscriber shall pay the reasonable costs of any collection agency (up to 50% of the amount owed), attorney or court used by Provider to collect past due amounts or to enforce this Agreement. A reactivation fee or deposit may be required before Service is reactivated after termination. Reactivation may take up to 48 Hours. Provider may sell, assign or transfer Subscriber s account to a third

10 party without notice to Subscriber. In the absence of notice, Subscriber must continue to make all required payments to Provider in accordance with the Subscriber s billing statement. 5. FAIR ACCESS POLICY. To facilitate equal Internet access for all subscribers, the Service may be subject to a running average fair access policy. Fair access establishes an equitable balance in Internet access for all customers regardless of their frequency or traffic usage. To ensure this equity, Subscriber may experience some temporary throughput limitations. Internet access is not guaranteed. 6. NO ENDORSEMENT. Provider does not endorse or in any way vouch for the accuracy or completeness of any content made available through the Service. Provider does not recommend that such content be relied on by Subscriber without appropriate verification. 7. USE OF INFORMATION. Information generated by Provider in connection with the administration of the Service shall be the exclusive property of Provider. Except to the extent prohibited by applicable law, Provider may distribute, loan, sell or otherwise share with other person s information concerning descriptive or related data, which do not rely on providing to recipients the identity of any particular subscriber or user of the Service. Provider may provide information to courts, law enforcement agencies and others involved in prosecuting claims or investigations for conduct alleged to be illegal or to violate or threaten the rights of any person or entity. Subscriber s communications with Provider may be monitored for quality control and other reasonable business purposes. 8. SUBSCRIBER CONDUCT. Subscriber shall comply with all laws, rules, regulations and legal obligations related to the Service and with all acceptable use policies and procedures established from time to time by Provider. Subscriber shall not use the Service to conduct any business or activity, or to solicit the performance of any activity, which is prohibited by any law, rule, regulation or legal obligation. Subscriber shall not intercept in an unauthorized manner or engage in spamming or any similar conduct. Subscriber shall not resell the Service to a third party. 9. EQUIPMENT. Subscriber shall maintain and operate suitable and fully compatible terminal equipment and universal power supplies required to access the Service. All Provider equipment must be connected to a universal power supply. All transmission equipment remains the property of Jade Communications and will be returned in good working order in the event the Service is cancelled. In the event that the equipment is not returned or is damaged, the Subscriber will be assessed a fee of $ PROVIDER MAKES NO REPRESENTATION OR WARRANTIES, EITHER EXPRESS OR IMPLIED, REGARDING SUCH EQUIPMENT. 10. DISCLAIMER OF WARRANTIES. ACCESS TO THE SERVICE IS NOT GUARANTEED. THE SERVICE IS DISTRIBUTED ON AN AS IS AND AS AVAILABLE BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR OTHERWISE. 11. LIMITATION OF LIABILITY. NEITHER PROVIDER NOR ANY OF ITS INFORMATION OR CONTENT PROVIDERS, SERVICE PROVIDERS, LICENSORS, EMPLOYEES OR AGENTS SHALL BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, PUNITIVE OR CONSEQUENTIAL DAMAGES ARISING OUT OF SUBSCRIBER S USE OF THE SERVICE OR INABILITY TO USE THE SERVICE OR ANY BREACH OF ANY REPRESENTATION OR WARRANTY. IN ANY EVENT, NO SUCH LIABILITY SHALL EXCEED THE

11 TOTAL AMOUNT ACTUALLY PAID BY SUBSCRIBER FOR SERVICES PROVIDED UNDER THIS AGREEMENT FOR THE PRIOR THREE MONTH PERIOD. 12. INDEMNITY. Subscriber assumes all risk and liability for any use of the Service. Subscriber agrees to indemnify Provider against all claims, liability, damages, costs and expenses, including but not limited to reasonable attorneys fees, arising out of or related to the use of the Service. 13. THIRD PARTY BENEFICIARIES. The provisions of Sections 9, 10 and 11 are for the benefit of Provider and its respective contractors, information or content providers, service providers, licensors, employees and agents; and each shall have the right to assert and enforce such provisions directly on its own behalf. 14. CUSTOMER CARE CENTER. Subscriber shall direct all inquiries and service related issues to Provider s Customer Care Center below: Jade Communications PO Box Santa Fe Avenue Alamosa, CO btc@gojade.org 15. APPLICABLE LAWS. This Agreement shall be governed by the laws of State where the principle offices of Provider are located, excluding its conflicts of law provisions. Any cause of action of Subscriber, or by users of Subscriber s account, with respect to the Service of this Agreement must be instituted within one year after the claim or cause of action has arisen or be barred. It is acknowledged that this is a services contract and not a contract for the sale of goods. 16. MISCELLANEOUS. This Agreement and any additional documents referred to in this Agreement constitute the entire and only agreement with respect to the subject matter and are applicable to Subscriber and all users of Subscriber s account. This Agreement supersedes all representations, agreements and other communications with respect to the subject matter except as expressly set forth in this document. This Agreement can be amended only by a written document signed by the parties or as otherwise provided herein. Neither the course of conduct between the parties nor trade practice shall modify the provisions of this Agreement. If any term of this Agreement is found by a court of competent jurisdiction to be invalid, illegal or unenforceable, the Agreement shall be construed in such a way as to eliminate the offending term while giving as much effect as possible to the intentions of the parties. Provider may authorize or allow its contractors and other third parties to provide services necessary or related to performance under this Agreement and may collect payment on their behalf. Notice under this Agreement may be made by any reasonable means, including , postal service or publication over the Service. Print Name: Signature: Date:

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