Applicant*

Billing Address if different

Drivers License #*

Keeping your information private is important to us. In keeping with the Customer Proprietary Network Information (CPNI) rules, we are asking that you provide the information below, so that we can confirm with whom we are speaking when you contact us by phone. Additionally, you may add other ‘authorized’ users to your account. They can be anyone that you wish, or those that need to have access, to make changes to your account with us.

What is your mother’s maiden name?

Your favorite color?

Requested Password?

I authorize the following persons to obtain information and make changes to my telephone/cable/internet account:

I authorize NWCommunications to obtain information and make changes to my telephone/cable/internet account:
YesNo

MARKETING: Would you like information on new products/services available within our Companies?
YesNo

The undersigned makes application for the following service, and for such additional service as may be ordered later, and agrees to pay established rates for all such services. Check all that apply.

Published in Phone Book
YesNo

In making this application the undersigned agrees to the rules and regulations of the New Windsor Telephone Company as set forth in the exchange tariff, and to any general changes in the rules, regulations, tariffs or rates for the service furnished under this application. This application becomes a contract when accepted in writing by the New Windsor Telephone Company.

Local Telephone Service (Type Name to Accept)

IntraLATA Toll Service (Type Name to Accept)

InterLATA Toll Service (Type Name to Accept)

International Toll Service (Type Name to Accept)

ACCOUNT NAME (Please Print Name of Person on Account)

Do you have a hearing or speech disability or condition and that this disability/limitation prevents or limits your ability to communicate over voice networks?
Yes

I DECLINE the UPS battery backup power supply offered by New Windsor Communications and understand my New Windsor Communications telephone service will not function during a power outage without the use of a battery backup power supply, removing the ability to make ANY calls, including emergency calls to 911.

All prices shown are monthly with the exception of installation charge. Prices do not include regulatory fees, surcharges and/or taxes. Gigabit is maximum capacity. Speed is likely to be slower because transport overhead and other locations on the Internet are not yet gigabit-capable. Very few wireless routers support gigabit connection speeds. Gigabit speeds are “best-effort” and not guaranteed. Speeds in the 700 to 900 Mbps range are most common on Gigabit tier.

The undersigned makes application for the following service, and for such additional service as may be ordered later, and agrees to pay established rates for all such services. A telephone line or safety line would be required for internet service.

Note: The prices shown are the approximate total cost of an internet package with limited phone service, taxes, surcharges, and associated limited phone credit. Actual cost may vary slightly due to changes in taxes and surcharges. Download and Upload speeds listed are the maximum attainable speeds within our network & may be affected by factors such as network congestion. Contact our office for specifics on the availability of individual packages.

1) By signing this registration form and agreement, you (customer) must be at least 18 years of age and agree to the following terms and conditions of the service described below.

2) These services are provided by New Windsor Cable TV, Inc., PO Box 488, New Windsor, IL 61465. This agreement shall be governed by and construed in accordance with the laws of the state of Illinois applicable to contracts to be performed entirely within the State.

3) The ONT (Optic Network Terminal) will be provided by New Windsor Cable TV, Inc and, in consideration for New Windsor Cable TV, Inc providing the ONT customer agrees to pay the installation fee and the monthly service payment. Both New Windsor Cable TV, Inc and Customer may terminate this Agreement at any time. Such notice is effective when given and Customer is obligated to pay for service through the termination date. All equipment must be returned at time of termination.

All prices shown are monthly with the exception of installation charge. Prices do not include regulatory fees, surcharges and/or taxes. Gigabit is maximum capacity. Speed is likely to be slower because transport overhead and other locations on the Internet are not yet gigabit-capable. Very few wireless routers support gigabit connection speeds. Gigabit speeds are “best-effort” and not guaranteed. Speeds in the 700 to 900 Mbps range are most common on Gigabit tier.

4) In order to properly maintain the New Windsor Cable TV, Inc High Speed Internet network, New Windsor Cable TV, Inc reserves the right to change Customer’s IP, gateway and subnet addresses.

5) All High-Speed Internet charges will be billed by New Windsor Cable TV, Inc at the first of each month, included in your New Windsor Telephone Statement, payable by the 21st of that same month. Failure to pay by the specified due date may result in your service being discontinued. A reconnect fee will be required to reestablish service. A deposit may also be required.

6) New Windsor Cable TV, Inc 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 New Windsor Cable TV, Inc. New Windsor Cable TV, Inc 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 of New Windsor Cable TV, Inc, nor for consequential damages regardless of their cause.

7) Customer agrees to comply with the Terms governing use of the New Windsor Cable TV, Inc network as set forth in the New Windsor Cable TV, Inc’ “Acceptable Use Policy”, as they may change from time to time. This may be found at www.nwtelephone.com.

8) By accessing and using the New Windsor Cable TV, Inc 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 New Windsor Cable TV, Inc. against liability for any and all use of user’s account.

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