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Dunkerton Telephone Cooperative 701 S. Canfield Street PO Box 188 Dunkerton, IA 50626 |
Dunkerton Telephone Cooperative Internet Registration Form
Name: ________________________________
Address: ______________________________
City: _________State: ________ Zip: ______
Telephone Number: _____________________
Preferred Username: _____________________ (15 characters or less)
Password: _____________________________ (6 characters or more)
$20 Administrative set-up fee for dial up accounts
$99 installation fee for DSL. Installation will be wavied if you sign an agreement for 1 year of service.
Package Check service for which you are applying
Dial Up Account Access – $19.95 per month
704K Speed DSL - $55.00 per month
Additional e-mail address ______________
Indicate system type: WIN 3.1 not supported
Windows 95/98/2000/ME
Windows XP
Vista
Macintosh
Billing Information
Date of Service: ______________________
Terms and Conditions
1. By signing this registration form and agreement, you (customer) agree to the following terms and conditions of the service described below.
2. These services are provided by Dunkerton
Telephone Cooperative,
3. Telephone technical support is available upon activation of your account.
4. All charges will be billed on your monthly telephone bill.
5. Dunkerton Telephone Cooperative makes no express or implied warranty of any kind. There is no express or implied warranty of merchantability or fitness for a particular purpose for the services to be provided by Dunkerton Telephone Cooperative. Dunkerton Telephone Cooperative makes no attempt to verify accurate receipt of any message and is not responsible for any loss of data resulting from delays, nondeliveries, incorrect deliveries or service interruptions, including those caused by the negligence, errors, or omissions or Dunkerton Telephone Cooperative, nor for consequential damages regardless of their cause.
6. Customer agrees to comply with the terms governing use of the Dunkerton Telephone Cooperative network, as they may change from time to time. Any changes to the terms governing use of the Dunkerton Telephone Cooperative network will be posted as warranted on the Dunkerton Telephone Cooperative system.
7. This agreement shall be governed by and
construed in accordance with the laws of the state of
8. Either party may terminate this agreement at any given time by giving written notice. Such notice is effective when given. Customer is obligated to pay for service through the termination date, as detailed on the final invoice.
9. By accessing and using the Dunkerton Telephone computer system, user is consenting to system monitoring for law enforcement and other purposes. Unauthorized use of, or access to, this computer system may subject users to criminal prosecution and penalties. User agrees to indemnify Dunkerton Telephone Cooperative against liability for any and all use of user’s account.
A signature is REQUIRED to process your order. Your signature below
indicates acceptance of the billing terms and the Dunkerton Telephone Cooperative
“Dialup Terms and Conditions .
Signature:_________________________________Date: ____/____/____