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<br />NEXTEl r
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<br />L,lIT__L-L. i J:-IIJ
<br />CUSTOMER ACCOUNT NO.
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<br />NEW CUSTOMER CHECKLIST
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<br />Welcome New Nextel Customer!
<br />This checklist ensures that your Nextel representative has fully explained important information about Nextel handsets and service and is being
<br />provided as an additional level of customer service and consumer protection. If you have any questions on any particular item, now is a
<br />great time to ask your Nextel representative for additional information or clarification.
<br />THIS SECTION TO BE COMPLETED BY A NEXTEL REPRESENTATIVE ONLY
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<br />l128J / i~i.QI / [Q~}
<br />DATE OF ORDER
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<br />EOE NUMBE~
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<br />o=J/CD/UJ
<br />REQUESTED TItAINING DATE
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<br />IT] : IT] CIJ
<br />REOUESTED TIME AM I PM
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<br />N~TEL REP. lAST NAME
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<br />AGEI'IT CODE
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<br />I 11 I i
<br />REOUESTEDTRAlNING lOCATJON
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<br />1::I::.1
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<br />THIS SECTION TO BE COMPLETED BY THE NEXTEL CUSTOMER ONLY
<br />Please read the following and signify your understanding and acceptance by placing you, Initials in the box next to each statement.
<br />
<br />I understand I can reach the NexteJ Customer Care center
<br />by calling 8B8-566.61 1 1 or 61 1 from my Nextel phone. . I_I
<br />
<br />I understand that the Motorola equipmet'lt warranty is
<br />good for one year after activation and does not cover
<br />equipment abuse, neglect or water damage. I hiwe
<br />been advised of the Nextel policies concerning equip-
<br />ment repair.. .. . ...... ... . ... ... .. .. . .. .. .. ... I_I
<br />
<br />I understand that the normal detivery time for Nextel
<br />equipment i!i 5 to 7 business days after my order is acti-
<br />vated. Equipment de~ivery times may be longer for cer-
<br />.tain accessories and non-standard or complex; activations I_I
<br />
<br />I have been advised that my Nextel handsets and Nextel
<br />accessories will be shipped. If my handsets are being
<br />shipped COD, I will need to provide a money order or
<br />check upon delivery. Equipment is not available on a
<br />
<br />will-call basis.............................,... I_I
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<br />I understand that any payments may be made by call-
<br />ing 888-566.6111, using 'o'VWW.nextel.com, or mailing
<br />to Nextel, PO Box 4192. Carol Stream, IL 60197-4192.
<br />Cash payments may be made at participating Nextel
<br />locations. A charge of up to $10 will'apply for each cash
<br />payment made on ~n account. . . . . . . . . . . . . . . . . . .. I_I
<br />
<br />My rate plan has been fully explained,ta me and I under-
<br />stand the terms of any special rate plan promotions and
<br />their expiration dates:
<br />Rate Plan: iJ~t n, .:I1"Q I~ 'fro (,,) +->>.. M~
<br />
<br />Minutes: Cell oil '1.0 DC UIJL Bonus f3'
<br />(.:S ~~r.; ;+
<br />Promotion: J./)
<br />
<br />I_I
<br />
<br />I understand that each time J change rate plans, I will
<br />pay a $9.99 per unit transfer fee up to 10 units. ..... I~I
<br />
<br />For any deposit or payment made by check, Customer
<br />expressly authorizes Company to electronically debit
<br />customer's account for the amount of the check. The
<br />use of check for payment represents Customer's accep~
<br />tance of this provision of this Agreement. For any
<br />deposit or payment made by credit or debit card, Cus-
<br />tomer expressly authorizes Company to c~arge or debit
<br />customer's count.,.,........................ I_I
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<br />
<br />I understand that the Customer account number indi-
<br />cated above (Corporate and Government accounts and
<br />Non.Java™/GPS.enabled handsets are not eligible) will
<br />receive Telenav service on each unit on the account for
<br />a period of 60 days without charge, The TeJenav service
<br />will include 10 routes per month. An overage rate of
<br />SO.01/kb may apply if 1/2 MB of data is exceeded. After
<br />the initial 60 day period, monthly service fees of $9.99
<br />per unit per month wilt apply to the Customer account
<br />number indicated above. If I wish to discontinue TeleNav, ~
<br />I must call Nextel Customer Care at 1.888.566.6111 on'
<br />or before the expiration of the 60 day trial period... .. I I
<br />Camera Phone: ReceIve an additional $50 off the pur-
<br />chase of a camera phone with activation of the Basic
<br />Data Plan at $9.99 per month for a one year period. In
<br />addition to any applicable $200 early termination fees,
<br />an additional $50 charge will appear on Customer's next
<br />invoice if Basic Data Plan or Seevice Agreement is termi-
<br />nated prior to fulfillment of one year commitment. May W J A
<br />not be available in all markets. ... . . . ... . . . .. . . . .. J~I
<br />I understand for any applicable rebate information and
<br />for full terms and conditions of any applicable rebates, I
<br />need to visit www.nextelconnections.com. .. . , ... .. I
<br />
<br />I am exempt from one or more of the federal, state and
<br />local taxes (If correct please Identify which tax exemp.
<br />
<br />&ri1Ng~ ~~~ .~r~~;.~~ ~~~ ~~~~.~~~~ ~~~~~~a.t~~ . . .. I_I
<br />
<br />I agree that the "following additional" Equipment dis-
<br />counts, rebates and accessories are being provided by
<br />the Nexte! Authorized Independent Sales Professional
<br />d1rectly to me and are not to be cons[dered part of my
<br />business relationship with Nexte' Partners. Please list all
<br />additional Equipment discounts, rebates and accesso-
<br />ries being provided directly to the customer by the
<br />Nextel Authorized Independent Sales Professional:
<br />
<br />I_I
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<br />I have been provided with a copy of my NexteJ Sub.
<br />scriber Agreement, terms and conditions, and this New
<br />Customer Checklist. My Nextel representative has fully
<br />explained the terms of my Service Term (if applicable),
<br />including any early termination fees. . . . . . . . . . . . . .. I_I
<br />
<br />k you very much for ~OSing Nextel!
<br />
<br />3 3t> ()' .l\.tCl..<<.JdIJ..ut.,a
<br />.5TO .ER 5IGN~_R:': . r ~ fl-h j. (\...- _ ' . ~TE E.L REPRESENTATIVE
<br />i (YVlQ1l J \.Q.l, ho 1),. v--v U,i,y\ /'hi $1'1 Or\
<br />
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