EPP Order Form

Verizon Wireless Messaging Services Agreement

Welcome to the Verizon Wireless Paging Solutions

Employee Pager Program (EPP)

In order to receive this Special, you must mention “EPP”!

Your company has allowed us the opportunity to present this special program to you. This program may provide you with access to reduced equipment pricing, special airtime plans and an easy method to place orders. You may be eligible to purchase a pager and service with a combined 30% discount off standard retail prices.

Please follow the instructions below when completing your order.

1. Please complete each box on the order form below. It is important that you complete all fields on the form, as we will be unable to process your order without this information.

2. Verizon Wireless Paging Solutions requires you to pay for your pager and one month of service up front. You may pay this by providing your credit card, or checking account information. Once you’ve completed your order and provided a payment method, we will charge your credit card or process the payment from your checking account.

Here’s an example:

Type of Service /

Amount Charged

/ Important Billing Information:
Purchase of a Z400 numeric pager / $34.95 / § Taxes will not be charged up front, but will appear on your invoice
§ A charge from prorated service from the date of your activation up to your next billing cycle will appear on your first invoice
Local Paging Service at $4.95 X 1 Month / $3.50
Standard Voicemail at $2.00 X 1 Month / $2.00
Activation Fee / $9.95
Shipping Fee (ground only) / $2.95
Total Amount Charged (varies per order): / $60.35

3. After completion of the form you can fax it to (888) 234-0025.You will receive an email confirmation within 24 hours, which will show that your pager has been shipped and the tracking number for your order. If you do not receive your confirmation please call (888) 247-7890.

4. Our pager exchange program is an optional program for eligible pagers, including the Sun Telecom Z400, Unication Alpha Elite and Unication Alpha.

If you experience an electronic malfunction with your pager, you can purchase a like unit from Verizon Wireless Paging Solutions for $9.95 as long as your pager model is not discontinued or obsolete, and as long as you return your original pager intact with all applicable components (clip/holster, charger, battery, etc.).

Pagers subjected to neglect, misuse, water damage, and the like are not eligible for any return or exchange program. This program does not cover lost or stolen pagers. These policies do not limit or supersede any existing manufacturers' warranties. The pager exchange program is separate and different from the pager replacement program which is explained below.

Pager Replacement Program (PRP) is an optional program to protect a customer’s pager against theft, loss, or damage beyond repair. This service allows the customer to purchase/ replace the pager at a reduced rate.

5. If you have questions regarding an order, or need to exchange your pager, you just simply call our regular customer service lines at (888) 247-7890.

6. Website information www.verizonmessaging.com/EPP

Thank you for your order!

§ If you do not receive your order within the estimated shipping time, or have any questions, please call (888) 247-7890.

§ If you received your order, but need customer service assistance, please call (888) 247-7890.

EPP Order Form – Each Field must be Complete in order to Process Form.

Personal / Step One:
Enter your personal information / Company / Automatic Deals / Date:
Your Full Name / Last 4 Digits of SSN:
Email Address
Your Home Billing Address / Street (No P.O. Box): / Apt or Suite:
City: / State: / Zip Code:
Contact Numbers:
Work e-mail Address: * / Daytime Phone Number: / Home Phone Number:*If you want a confirmation of shipment this is required
Equipment, Service, Coverage and Rate Pan / Step Two:
Choose the equipment, service, coverage and rate plan, that best meets your needs
*You must select:
One equipment type and one corresponding coverage / Please note product subject to equipment availability. Additional service options are available at standard rates.
Pager Replacement Program (PRP) is an optional program to protect a customer’s pager against theft, loss, or damage beyond repair. This service allows the customer to purchase/ replace the pager at a reduced rate.
Equipment (Available in Black Only)* /

Available Coverage*

/ Call Pkg/ Count /

Mthly Rate

NUMERIC
Z400 / New - $34.95
Current Promotion*
Pager Replacement Program - $2.00 Monthly
(Replacement Cost w/ PRP - $10.00)
Overcall/Usage Charges - $0.10 per call.
*$9.95 Activation Fee may apply / Local / 500 / $3.50
Statewide / 500 / $5.45
Regional / 500 / $8.50
Nationwide / 500 / $16.75

TEXT

UNICATION ALPHA ELITE or GOLD / New - $69.95
Current Promotion*
Pager Replacement Program - $2.00 Monthly
(Replacement Cost w/ PRP - $25.00)
Overcall/Usage Charges - $0.25 per call.
*$9.95 Activation Fee may apply / Local / 300 / $6.00
Statewide / 300 / $7.25
Regional / 300 / $13.50
2–WAY
Unication P900 / New - $99.95
Current Promotion*
Pager Replacement Program - $2.00 Monthly
(Replacement Cost w/ PRP - $45.00)
*$9.95 Activation Fee may apply / Local Plan / Unlimited / $11.75
Nationwide / Unlimited / $14.00
All alphanumeric pagers include Data Cast news broadcasts at no extra charge. This includes news, sports and entertainment information.
With two-way service you can send and receive emails as well as send two-way text messages to anyone with a two-way pager on our system.
Term:
One (1) Year Two (2) years
Note: If no box is checked then one (1) year term.
Enhanced Services / Step Three:
(Optional)
Choose the enhanced service plan for voicemail / Additional voicemail options are available at standard rates
If you selected our voicemail service, please provide the 4-digit access code (pass-code) you prefer in the field below. Otherwise, we will set your access code to 1234 (which you can change at any time).
Package Option / Monthly
Rate / Access Code / Greeting Length / Message Length / Maximum # of Messages /

Retention

Basic / $2.50 / 30 / 60 / 10 / 24 Hours
Standard / $3.00 / 30 / 60 / 15 / 48 Hours
Premier / $4.00 / 60 / 120 / 25 / 72 Hours
Number / Step Four:
Type of
pager number preferred / Please provide your preferred area code and the name of the city closest to your calling area. This will allow us to assign a pager telephone number closest to your calling area.
Area Code Preferred: ( )
City Closest to your general calling area: ______
(Please note that Verizon Wireless Paging Solutions cannot guarantee your pager number will be a local call. Toll free pager numbers are available for an additional charge.)
Shipping / Step Five:
Shipping method / Your order will be processed upon receipt and shipped via the option you choose.
The pager can only be shipped to the address on your credit card bill.
Standard UPS Ground – $2.95 (Average 2 to 6 day delivery time)
Expedited Shipping - $9.95
COD is Not Available
Payment Method / Step Six:
Please list either a credit card or checking account for payment / Pay by Credit Card: MasterCard Visa Discover American ExpressI agree that I will be financially responsible for all charges associated with this account and agree that I am entering into a contract as described below.
Signature:______/ Credit Card Number:
Name on the Card:
Expiration Date:
Amount: $
The CID, Card Identification Number, is a 3-digit code on the back of MasterCard, Visa, and Discover cards. And a 4-digit code on the front of American Express cards. / Please enter a valid CID here:
Pay Electronically by Check:Amount: $______/ Bank Name:
9 Digit Routing Number:
Checking Account Number:
Once you’ve completed your order and provided a payment method, we will charge your credit card or checking account the cost of the equipment you selected plus 1 month of paging service including voicemail (if selected).
Submit Order / Step Seven:
Submit your order by fax / Fax: (888) 234-0025
Your order will be processed within 24 hours from the date received. When your order ships you will receive a confirmation email with a tracking number. If you don’t receive an email after 24 hrs please call (888) 699-8977. / For Verizon Wireless Paging Solutions Office Use Only:
Dept ID: Sales Rep ID:
Company Code:
Required Channel Information:
Billing / Billing and website information / Your account will be set up on quarterly billing. This means you will receive an invoice every three months unless your bill becomes past due or when changes that incur charges, are billed to your account. You would then receive a bill the following month. Late fees are assessed for all balances not paid by the due date.
To help prevent any late fees from occurring you may set up on our Automatic Payment Plan. This service allows you to have your quarterly payments automatically withdrawn from your bank account or a credit card. Please visit our website at www.verizonmessaging.com/APP to register electronically.
Sign up for My Paging Account
With the click of a mouse, you have the ability to access and manage your paging account anytime you want with My Paging Account. You can View and print your billing statements online, make a payment using a credit card or auto draft from your checking account, update your account information, order a new or replacement pager on your account and more!
Contract / Contract Information / *New sales require a minimum of a 1 year contract. All pagers will be shipped in a break the seal bag along with a separate 1 or 2 year contract. By breaking the seal on the bag it acknowledges that you accept the terms and conditions of the enclosed customer agreement. There is an early termination fee of $25 for all 1-way pagers (numeric and text) and a $75 early termination fee for all 2-way pagers. All pagers come with a 30 day return policy. You may return or exchange any or all of your paging equipment for any reason within 30 days of purchase. You must return the equipment intact with all components in like-new condition. At our discretion, we may decline your return or exchange, or charge you a fee, if you do not return all items or if items you return are damaged or require service.

Rev 11/04