Terms of Agreement for Residential Fiber Optic Services Customer Name: _____________________________________ Date: _________________________________ - Account Number: ____________________________________ SS # (Last 4 Digits: _______________________ Phone 1: _________________ Phone 2: __________________ Email: ______________________________________ Billing Address: ______________________________________________________________ Physical Address: ____________________________________________________________ BRMEMC.net Email Address: ______________________________ @brmemc.net Password: ____________________ Agreement Information Offer available to residential customers only. Business packages available by request. By signing above customer agrees to continue services for a term of 2 years, then continue month‐to‐month until the agreement is cancelled by either party. If customer cancels its service or any portion thereof, or has its services or any portion thereof terminated as provided above, prior to the expiration of the contract term, customer shall be obligated to pay BRMEMC the monthly reoccurring rate, of canceled service(s), multiplied by the months remaining in contract. Such termination charge shall be paid to BRMEMC within thirty (30) days after such cancellation by the Customer. Digital TV and voice services offered under this Agreement by Americas Center Corporation (channel lineup subject to change). BRMEMC and/or Americas Center will maintain ownership of fiber optic and video equipment, and upon termination of this Agreement, customer agrees to return said equipment in good working condition, or pay an equipment replacement fee of $200.00 per set top box, $25.00 per remote, and $15.00 per power cord. Acceptance of Terms of Service and Acceptable Usage Policy (as is posted online at www.brmemc.com) is required, and by virtue of signing this document customer agrees to be bound to said Terms and Policy. Broadband charges begin on the date of BRMEMC work order completion (pricing subject to change). Installation is to an outside NID near the electric meter base. Prior to inside installation, a quote with estimate will be provided to customer. Customer grants BRMEMC the right to construct, operate, access and maintain fiber‐optic lines and associated pedestals, or other apparatus necessary for such installations. The undersigned does not convey any land, but merely grants an easement for such fiber‐ optic facilities. The benefits and considerations of such fiber‐optic installations shall inure to any successors and/assignees of BRMEMC or the consumer. I have read, understand, and agree to the initial/monthly charges associated with Fiber Optic Services. (Pg. 2) I have read, understand, and agree to the Letter of Authorization to Change Service Providers. (Pg. 3) I have read, understand, and agree to the Subscriber Agreement for BRMEMC Enhanced Voice. (Pg. 4) I have read, understand, and agree to the Underground Electric and/or Fiber Service Agreement. (Pg. 5) ________________________________________________ Customer Signature(s) __________________ Date Step 4 ‐ CHOOSE A PLAN Monthly Charges Price (1 service) D A TA Services DATA Packages (higher data rates available by request) Internet (up to 10M↓/10M↑) BASIC STANDARD - Internet (up to 20M↓/20M↑) PREMIUM - Internet (up to 30M↓/30M↑) ULTIMATE - Internet (up to 40M↓/40M↑) LIGHTNING - Internet (up to 50M↓/50M↑) 34.95 39.95 42.95 49.95 59.95 34.95 39.95 42.95 49.95 59.95 non-applicable 44.95 non-applicable non-applicable 29.95 31.95 19.95 non-applicable 5.00 5.00 non-applicable non-applicable 69.95 84.95 94.95 146.95 54.95 69.95 79.95 131.95 non-applicable 5.00 5.00 non-applicable non-applicable 60.00 15.00 15.00 15.00 15.00 52.00 15.00 15.00 15.00 15.00 non-applicable 7.00 7.00 non-applicable 12.00 12.00 non-applicable 35.00 35.00 75.00 75.00 75.00 25.00 25.00 25.00 1.50 1.50 1.50 65.00 20.00 4.95 65.00 20.00 4.95 65.00 20.00 4.95 PH O N E Additional Phone Services 800 Number Service (10¢ / min. inbound) TV Packages Basic Tier (includes: local channels, 75+ channels) Expanded Tier (includes: Basic Tier, 160+ channels) Digital Tier (includes: Expanded Tier, HD Tier, 220+ channels) Ultimate Tier (includes: Digital Tier, ALL Premiums, 250+ channels) non-applicable non-applicable Additional TV Packages Spanish Pkg. (requires: Basic Tier↑) TV Premium Packages Pkg. (requires: Basic Tier↑) ALL Premiums HBO Premium (requires: Basic Tier↑) Cinemax Premium (requires: Basic Tier↑) Showtime / TMC Premium (requires: Basic Tier↑) Starz / Encore Premium (requires: Basic Tier↑) Standard Set Top Box Price (3 services) 34.95 39.95 42.95 49.95 59.95 PHONE Packages Voice Unlimited (includes: local calling, features** and unlimited nationwide LD) Voice Limited (includes local calling and features**) Price (2 services)* non-applicable non-applicable non-applicable Set Top Box (required per TV) (Standard Definition (SD) & High Definition (HD) capable), 1st Set Top Box is Free with any TV service. Additional Set Top Box(s) require rental fee. (1) Set Top Box per Television) DVR Set Top Box (Standard Definition (SD) & High Definition (HD) capable) (1) Set Top Box per Television) One Time Charges Phone Service Activation Fee Basic Service Install Optional Services M is c (includes: (1) Cat5 Ethernet Cable to PC or Router, or (1) phone line connection to existing in-home wiring, or (1) TV set top box hook-up. Installation is to an outside NID near the electric meter base and includes up to 50ft. into premises in proximity to the NID, (1) wall / floor penetration) Extended Service Install (includes: technician to install (1) additional wire drop of either - Cat5 Ethernet Cable, phone line cable, TV set top box hook-up; must be completed during the same visit as Basic Service Install to apply) Inside Wire Maintenance (monthly fee- covers cost associated with correcting any problems in previously installed wiring) Static IP Address Additional 5 IP Addresses Filtered Internet Service * One service choice must be a Data Plan **Residential features include: Authentication; Basic call logs; Call Forward Always On; Call Forward Busy; Call Forward No Answer; Call Return, Call Waiting, Customer Originated Trace, Caller ID - Name and Number Delivery; Last Number Return (*69); 3-Way Calling; Speed Calling 8; and Voicemail. (12 in all) CONGRATULATIONS! You have now completed the application process for your new fiber optic service. Please call 706‐379‐3121 with questions concerning this account. Residential Contract LETTER OF AUTHORIZATION TO CHANGE SERVICE PROVIDERS DATE: TO: ETC Communication Inc. RE: SERVICE CHANGES: This letter authorizes: ETC Communications Inc. 224 Dalton Street Ellijay, Georgia Telephone #800-660-6826 To verify your tele-communication services provided by ____________________________________, and to schedule, coordinate, and change phones services to ETC Communication Inc. Name: ________________________________________________________ Business Name: _________________________________________________ Address: _______________________________________________________ City: _____________________ State: _____ Zip: __________ Telephone Number(s): ___________________________________________ Account Number(s): _____________________________________________ SUBSCRIBER AGREEMENT BRMEMC ENHANCED VOICE SOME IMPORTANT INFORMATION ABOUT BRMEMC’s ENHANCED PHONE SERVICE POWERED ETC Communications Thank you for choosing BRMEMC Enhanced Voice powered by ETC Communications, a voice over Internet protocol service. The rates, terms and conditions under which ETC Communications (“ETC”) will provide its Voice Service to you can be found at www.brmemc.com or by contacting BRMEMC at (706) 379-3121. In addition, The Federal Communications Commission requires that ETC notify you about certain limitations on ETC’s E911 service: YOU MUST PROVIDE YOUR CORRECT ADDRESS . If you do not correctly identify the address where your multimedia terminal adaptor (“MTA”) is located, or if you move the MTA away from the original address, your emergency calls may be routed to the wrong emergency authority, or emergency personnel may be misdirected to the wrong address. YOU EXPRESSLY ACKNOWLEDGE THAT YOU HAVE THE RESPONSIBILITY TO IMMEDIATELY NOTIFY ETC, THROUGH ITS AGENT, BRMEMC (Blue Ridge Mountain EMC) OF ANY CHANGE IN YOUR SERVICE ADDRESS. You must not relocate the MTA to a different address. If you change residences, you must contact BRMEMC at (706) 379-3121 for information on whether the ETC Voice Service can be transferred to your new residence and what the relocation will cost. If you wish to disconnect the ETC Voice Service, you must contact BRMEMC for information on the necessary procedures. THERE MAY BE A DELAY UNTIL YOUR ADDRESS IS ENTERED IN THE E911 DATABASE. When you initially order service, or if you notify BRMEMC of a change in your service address, there may be a delay before the address or change in address is entered in the E911 database seen by the emergency service provider. USE OF A NON-NATIVE TELEPHONE NUMBER MAY LIMIT EMERGENCY AUTHORITIES’ ACCESS TO YOUR LOCATION INFORMATION. If you are using a non-native telephone number (a telephone number from a different exchange than the one in which you are using the ETC Voice Service), emergency authorities or personnel may be unable to determine the location from which you are calling. POWER OUTAGES MAY DISRUPT YOUR E911 SERVICE. Your Multimedia Terminal Adaptor (“MTA”) includes a battery backup that provides up to 6 hours of backup power in the event of a power outage. The MTA must be plugged in to maintain a charged battery. YOU EXPRESSLY ACKNOWLEDGE THAT YOU WILL NOT BE ABLE TO PLACE OR RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911 SERVICES, IF YOU ARE EXPERIENCING A POWER OUTAGE AND THE BATTERY POWER ON YOUR MTA RUNS OUT. BROADBAND CONNECTION FAILURE WILL DISRUPT YOUR E911 SERVICE. YOU EXPRESSLY ACKNOLWEDGE THAT YOU WILL NOT BE ABLE TO PLACE OR RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911 SERVICES, IF BRMEMC OR ETC IS EXPERIENCING AN OUTAGE IN ITS NETWORK. YOUR E911 SERVICE WILL NOT WORK IF YOUR MTA, OR OTHER EQUIPMENT REQUIRED FOR THE ETC VOICE SERVICE IS IMPROPERLY INSTALLED OR CONFIGURED. Acknowledgement I am at least 18 years old and am the person responsible for making decisions about voice services in this household. I have read the document titled “Some Important Information about ETC Communication’s E911 Service,” including the limitations on ETC’s E911 service. I understand and acknowledge these limitations. For additional assistance, you may contact our Customer Service Department by phone at (706) 379-3121 or by mail at BRMEMC, PO Box 9, Young Harris, GA 30582. UNDERGROUND ELECTRIC AND/OR FIBER SERVICE 1. Whereas, Applicant has applied to the Cooperative for underground electric and/or fiber. 2. Whereas, the conditions for such service are stipulated in Cooperative’s Policy Bulletin No. 326, included by reference thereto as a part of this agreement and with which the applicant acknowledges he is familiar, particularly the General Conditions attached hereto; and, 3. Whereas, in keeping with said Policy, the Applicant agrees to make a cash contribution, in advance of construction. NOW, THEREFORE, the Cooperative does hereby agree to make such underground installation in keeping with its own plans and specifications and at a time convenient to the Cooperative, which convenience includes availability of materials and equipment, favorable weather conditions and prior commitments. This agreement is binding for current and all future applications for underground electric Service. IN WITNESS WHEREOF, the parties hereto have affixed their respective signatures as of the year and date first above written. POLICY BULLETIN NO. 326 SUBJECT: UNDERGROUND SERVICES - EXTENSION POLICY The Cooperative will extend underground service, upon request, to its consumers under the following conditions: GENERAL CONDITIONS (applicable to all underground installations) A. All charges required to be paid under the terms of this policy will be payable in advance or by credit arrangements satisfactory to the Cooperative. A fter the line is constructed no refund of contributions will be made by the Cooperative. B. Where it is necessary to trench along roads, streets or drives (due to inadequate right- of-way, etc.), or where water lines, sewer lines, shrubs, trees and grass sod are subject to damage during underground installations, the Cooperative will not be responsible for damage, replacement or repair resulting from or required as a result thereof. C. Underground installations will be made with the understanding that, should it be necessary to uncover the cable for maintenance and/or repair, the Cooperative will use reasonable care and diligence to preserve and protect water lines, sewer lines, sod, shrubs, trees, driveways, etc., but will not be responsible for loss of or damage to natural or manmade objects, including but not limited to water lines, sewer lines, sod, shrubs, and trees, or replacement of paving. D. Where, due to rock that cannot be moved by standard excavating equipment, the owner or developer shall be charged by the Cooperative the actual cost of drilling and blasting through affected area. Where there are other unusual conditions, such as high water table, which require installation procedures not normally used, the excess cost of such procedures may be charged by the Cooperative to the owner or developer. E. If the applicant requires outdoor area "Security" lighting as provided for under Rate Schedule LS, applicant will be required to pay a security light installation fee and any additional cost resulting from underground installations according to Policy Bulletin No. 336. F. The provisions of Policy Bulletin No. 320 concerning acquisition of "Right-of-Way Easements" apply to extensions made under this policy. Orig. 02/71 Rev. 07/74; 07/81; 10/84; 08/85; 11/85; 08/86; 02/91 Basic Package 1 2 4 3 54 65 76 87 98 9 10 10 11 11 12 12 14 16 18 20 21 24 25 26 27 28 29 32 33 34 35 36 37 38 40 41 42 43 50 52 53 60 61 62 64 71 72 74 76 77 3 WAGAD WRCB - Chattanooga WATLD Local TV4 WRCB WTCI - Chattanooga Local Access WFLI/CW - Chattanooga WGCLD WDSI/Fox - Chattanooga WSBD WDSI MyNet - Chattanooga WUPAD WTVC/ABC - Chattanooga WTVC GPBK/PBS - Chattanooga WXIAD ION - Chattanooga WGN AME WDEF/CBS - Chattanooga WDEF QVC Lifetime Lifetime Movie Nework Weather Channel HSN ESPN ESPN Classics ESPN News ESPN U ESPN2 Fox Sports 1 NBC Sports Fox Sports South Gegoria SEC SECA SECB Golf Channel NFL Network Disney Channel Disney XD Cartoon Network HUB Network Nickelodeon Nick Jr Disney Jr. CSPAN CSPAN2 CSPAN3 FUSION CNN HLN Fox News Channel CNBC World MSNBC 78 81 82 84 86 87 88 90 93 94 102 104 110 111 117 118 119 120 122 123 124 125 127 129 133 134 135 145 146 147 151 152 154 155 156 161 164 166 167 172 174 175 176 177 178 Expanded Package (includes Basic) CNBC ABC Family TBS Chiller Hallmark Channel Cloo USA Network FX TV Land TNT EWTN TBN Discovery Channel OWN Animal Planet TLC Science Channel, The National Geographic A&E Entertainment History History International Biography Travel Channel tru TV Investigation Discovery Planet Green Military Channel HGTV Food Network Esquire (f.k.a.Style) RFD Tv Comedy Central Spike TV G4 E! Entertainment Oxygen mun2 Bravo Syfy Fuse MTV MTV2 VH1 CMT BET Spanish Package 23 ESPN Desportes 138 Discovery en Espanol 30 31 45 48 66 83 85 89 115 121 142 143 150 170 171 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 Sports South Georgia Fox Sports 2 The N (Teen Nick) Nicktoons Fox Business Network Hallmark Movie Channel FMC FXX Military History National Geographic Wild Cooking Channel DIY Outdoor Channel Great American Country VH1 Classic Rock Hit List Adult Pop Swinging Standards Jukebox Oldies Flashback 70's Everything 80's Nothin' But 90's Maximum Party Dance Classics Dance Clubbin' Holiday Hits Classic Rock Rock Alternative Rock Hard Rock Alt Rock Classics The Blues Adult Alternative 300 301 302 303 304 305 306 307 308 309 310 311 312 320 321 322 323 324 325 326 STARZ SCIN SCOME SEDG STZIB STZK ENCORE EACT EDRA ELOVE ENCRM ENCRWA EWST SHOWX NEXT SHOCSE SHOW SHOWB SHOFZ SHO2 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 Folk Roots Alternative Country/ America Hot Country No Fences Country Classics Bluegrass The Light Gospel Soul Storm Urban Beats Retro R&B Big Band Jazz Masters Jazz Now Smooth Jazz The Chill Lounge Galaxie Spa Easy Listening Pop Classics Classic Masters Chamber Music Baroque Opera Plus Celtic Jammin' Latino Tropical Today's Latin Pop Retro Latino Latino Urbana Latino Tejano Regional Mexican Kids' Stuff Movie Channels 327 328 329 330 340 341 342 343 344 345 346 350 351 352 353 354 355 356 357 TMC TMCX WOMEN FLIX HBO HBO2 HBOF HBOC HBOSIG HBOZ HBOLAT MAX MOMAX ACMAX THMAX WOMAX ATMAX 5MAX OMAX Digital Package (includes Expanded) 414 416 424 426 427 428 430 431 432 433 437 438 440 442 443 450 471 474 476 477 481 482 483 485 486 488 489 490 492 493 494 509 510 517 519 QVC HD Lifetime HD ESPN HD ESPN News HD ESPN U HD ESPN2 HD Sports South Georgia HD Fox Sports 2 HD NBC Sports Network HD Fox Sports South HD‐Georgia Golf Channel HD NFL Network HD Disney HD Cartoon HD HUB Network HD Nick HD CNN HD FOX News Channel HD CNBC HD MSNBC HD ABC Family HD TBS HD Hallmark Movie Channel HD FMC HD Hallmark Channel HD USA HD FXX HD FX HD Universal HD TV Land HD TNT HD Velocity HD Discovery HD Animal Planet HD Science Channel HD 700 701 702 703 704 705 707 708 709 710 711 712 714 716 740 STARZ HD STZK HD SCOMHD SEDGH HD ENCR1H SHOW HD SHO2 HD SHO2PH SHOCSH SHOCPH TMCHD TMCHDP TMCXHD SHOWXH HBOHD 520 521 522 523 527 529 534 542 543 545 546 547 552 554 555 556 561 566 567 574 575 576 577 578 579 613 614 615 616 618 620 621 624 625 626 National Geographic HD National Geographic Wild HD A & E HD History HD Travel Channel HD TRUTV HD Planet Green HD Cooking Channel HD DIY HD HGTV HD Food Network HD Esquire HD Comedy Central HD Spike TV HD G4 HD E! Entertainment HD Oxygen HD Bravo HD Syfy HD MTV HD MTV2 HD VH1 HD CMTV HD BET HD Palladia HD WSB HD WATL HD WAGA HD WGCL HD WPBA HD WUPA HD WXIA HD WLOS HD WHNS HD WUNC HD HD Movie Channels 741 742 743 744 745 746 750 751 752 753 754 755 756 757 HBO2HD HBOFHD HBOCHD HBOSGH HBOZHD HBOLAH MAXHD MOMAXHD ACMAXH THMAXH WOMAXH ATMAXH 5MAXHD OMAXHD
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