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 $300.00. 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:__________ OWNED______ Rental______ (NEED LANDLORD Form signed BEFORE INSTALL)

Driving Directions: __________________________________________________________________________________________________ ________________________________________________________________________________________________________________ Send monthly statements via: E-Mail Billing ____ E-Mail Address____________________________________ Regular Mail Billing ____ Home Telephone #________________ Employer _______________________ Work Telephone #__________________ DOB:____________ Social Security # ____________________ Mother’s Maiden Name ________________Drivers License # ______________ State ______ _________________________________________________________________________________________________________________

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:

E-mail address:GoJade.org

E-mail 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 Email: ______________________________________ 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 10th 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 ________________________________________________________

No Contract

Mbps DOWN

Mbps UP

INSTALL FEE PRICE

UPGRADE FEE

5 1 50.00 39.99 .00 10 1 50.00 49.99 .00 20 2 75.00 59.99 25.00

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____

___ Router $110.00 plus tax to purchase $4.99 per month rental

____ UPS Battery Backup $113.00

WPA Password Request: ________________________________________________(Router password)

___ SecureIT Plus- Antivirus $5.95 per month $3.95 Self Install $11.95 Install by Jade

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:_______.________.________._______ Tower Site:____________ DEFAULTGATEWAY:_______._______._______.______ Color Code: ___________ SUBNET MASK:_______._______._______._______ ___________ ___________ DNS: 206.168.40.6 2nd DNS: 206.168.68.2 Readings @ 2X

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 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 e-mail 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 $600.00. 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

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 1138

129 Santa Fe Avenue

Alamosa, CO 81101

719-589-5140 719-206-8118 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 e-mail, postal service or publication over the Service.

Print Name: _______________________________________________________________________________

Signature: ________________________________________________ Date: ________________________

These addresses are assigned to your machine. Please keep this information for

your records.

CUSTOMER IP ADDRESS: ___.___.___.___

SUBNET MASK: 255.255.255.0

GATEWAY: ___.___.___.___

PRIMARY DNS: 206.168.40.6

SECONDARY DNS: 206.168.68.2

If using gojade.org email:

UserName:___________@gojade.org

Password:______________________

If you are using a router: when troubleshooting: DO NOT push the reset button

Wireless Network Password: ____________________

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 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 e-mail 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 $600.00. 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

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 1138

129 Santa Fe Avenue

btc@gojade.org

Alamosa, CO 81101 719-589-5140 719-206-8118

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 e-mail, postal service or publication over the Service.

17. UPON WANTING TO DISCONNECT:

A) CALL JADE COMMUNICATIONS 719-589-5140 to disconnect services, make

sure correct mailing address is on file for final billing.

B) TAKE ALL EQUIPMENT THAT JADE SUPPLIED (RADIO/DISH, POWER

SUPPLY, ROUTER, SWITCH, ETC. & return to Jade Communications

immediately, otherwise a $95 fee will be charged to your account for Jade tech to

pickup equipment.

18. BILLING:

A) Jade Communications processes statements on the 20th of every month unless on a weekend,

then will process on that following Monday. If you start service in the middle of a bill period,

you will see a partial month’s bill plus a full month on that next billing on the 20th.

B) Example: (charges you will see on 1st. bill)

Started service on any day of month other than the 20th. ??

1) Canopy package – partial cost - $ XXXX

2) Canopy package – full amount – ($39.99 or $49.99 or $59.99)

3) If using a Rental router – partial cost - $xxxx

4) If using a Rental router – Full amount – ($4.99 or $9.99)

5) $50 Install Fee

B) Every month after that there will be the:

Canopy Package charge

(if) rental router charge

(if) using our VOIP(phone)

D) $5 administrative Fee if not paid by the 10th.

E) Full payment Due by the 5th of the following month.

SIMPLE STEPS FOR STAYING SAFE ONLINE

As the old saying goes, “an ounce of prevention is worth a pound of cure.” Well, that’s especially true for keeping

your computer safe from the dangers you might encounter while surfing the Internet.

Did you know that the average Internet user has on her/his computer twenty-eight (28) pieces of software that monitor

online behavior? And the user has no idea that the software is there! More than that, the user doesn’t know how this

monitoring software, often called Spyware, got onto the computer.

What’s the big deal?

Spyware, worms, viruses and other malicious code and applications can infect your system without your

knowledge, can compromise your privacy, and produce a variety of problems that affect your computer hardware and

Internet experience.

As your provider, it is our goal to help you get the best, and safest Internet experience possible.

To do this, we want you to know how to avoid some of the “bad neighborhoods” online and how to take steps that can save

you headaches—and maybe even some money in computer repair bills!

The simple steps

Keep Windows up to date

Get—and run—an anti-virus program

Keep the anti-virus program up to date

Turn on or install a firewall

Do not open attachments

Keep Windows updated!

As for the recent Sasser worm, Microsoft releases security patches and updates for Outlook Express, Windows

Operating Systems, and certain Microsoft applications.

These patches and updates address security vulnerabilities and ensure you have the most up-to-date software.

We urge you to update your Windows operating system and software regularly—at least once a month.

To update Windows, visit the Microsoft Web site referenced below, or simply run "Windows Update" from the Start menu

on your computer. Windows Update automatically connects to the Microsoft Web site, and allows you to scan your system

for appropriate patches.

Please be patient when updating your system, as the volume of downloads from the Microsoft Web site may make some

pages slow to load.

Microsoft releases security patches monthly basis. We urge our subscribers who use Microsoft products to check at least

once a month for updates.

To scan for necessary updates and download patches, go to: http://windowsupdate.microsoft.com/.

If you do not use Microsoft products, please contact your vendor for recommendations for keeping software up to date.

Keep anti-virus software updated

Most new computers come with anti-virus software loaded on them. But these programs provide protection only

when they are run and only if they are updated regularly.

To keep the anti-virus software updated, you will need to subscribe to a service. But, if you spend any time online, it’s

money well spent!

Check for updates regularly—every week or so.

Turn on or install a firewall

A firewall provides a barrier between a computer network and the online world.

Microsoft Windows provides an Internet Connection Firewall (ICF) that can protect a network or a single computer. If you

use Windows XP and would like to enable the ICF, please call our technical support number listed below for help.

Other firewall programs that can protect your system include:

Zone Alarm Plus

McAfee Firewall

Norton Personal Firewall

Don’t open attachments!

These days, it’s not enough to trust the sender. Sometimes, a computer can be “hijacked,” taken over and used to

send Spam and viruses over the Internet by sending e-mail to all of the addresses listed in the e-mail address book.

Unless you know the sender of e-mail and are expecting an attachment from that sender, be wary. Even then a sender you

know may pass an attachment infected with a virus or worm they may not be aware of.

Be cautious. E-mail the sender to make sure they intended to send you the attachment.

It’s a simple step. It doesn’t take long to do. And it can save you a lot of trouble!

Prevent Spyware

Want to know how to avoid having monitoring software put on your computer?

Again, common sense and simple steps can help keep your computer safe and your privacy secure.

Do not operate peer-to-peer (P2P) software, which often contains spyware.

Do not allow any browser plug-ins to install, unless you know what they are

Research “free” programs before you try them

Do not allow any Web site to change your home page

Turn on or install a firewall

Think you might be infected?

If you are concerned that your system may already be infected with a virus or spyware, please visit

http://www.trueband.net/protect_yourself.html. This free software is from McAfee called Stinger.

We have posted a link to a free utility to diagnose and clean your system.

This application will be effective for this use, but to prevent re-infection, you will need to patch your operating system.

If you have questions, or are unsure of how to use this utility, please feel free to call technical support at (719) 589-2964.

We will be happy to assist you.

(Updated 3/2012)

M:\Documents\Jade\Canopy\Application for Canopy

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

Name: _______________________________________ Email: _____________________________ 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____________

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:

ATA (to be returned upon disconnect or $110.00 Charge) SWITCH (to be returned upon disconnect or $110.00 Charge)

_____UPS Battery Backup - $113.00

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 3rd & 10th):______________________________

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:______________________________

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)

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: ______________________________________________________________________

CUSTOMER COPY

Customer Name: _______________________________________________________

Customer Address: _____________________________________________________

City, State, Zip: ________________________________________________________

Telephone Number: ____________________________________________________

Phone Book Listing: ___________________________________________________

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. 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

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.

Step Description

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.

Step Description

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.

Step Description

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.

Step Description

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.

Step Description

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.

Step Description

1 Dial *67 to cause a “Private” to be displayed on the calling party’s telephone.

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