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Residential Service Agreement

General Information

Name: Main Phone Number:

Service Address:

Secondary Address:

City: State: MI ZIP:

Email: Last 4 of SSN:

Service Availability ID:

Existing Customer Account:

Billing & Account Information

Billing Address:

City: State: ZIP:

Email Bill:

Referred to DayStarr by:

I wish to opt-out of receiving DayStarr's quarterly electronic newsletter:

Internet Package

Package: Monthly Cost: Setup Fee:

Essential Information for our Installer Crew

Finished Basement:

Private Utilities:

Property Owner Authorization

Property Ownership:

I am authorized to allow DayStarr to install service to this address and I provide permission to DayStarr to install service. The installation process may include drilling holes through walls, attaching fiber cables and splice boxes to the exterior of the building, and trenching cable to the building.

Your Initials:

General Terms & Conditions

The term of your contract for services is month to month, and may be canceled at any time. You agree to pay DayStarr Communications a monthly amount of $ in advance of services rendered for the services listed above. You are acknowledge that you will be charged an additional $5/month if you elect to receive a paper bill. You agree to pay for any unreturned equipment after this agreement terminates. The current unreturned equipment cost can be found in our Terms & Conditions. You are acknowledging that you have read and agreed to the our Terms & Conditions found on our website: www.daystarr.net, and understand that we may periodically make changes to the Terms & Conditions without notice.

We are unable to calculate the prorated amount of your of your first bill until your install is complete. Your first bill will be for one and a half to two and half months of service. Your setup fee of $ will be due prior to scheduling your install. Your first bill will be between $ and $ .

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Timestamp

Audit

February 24, 2021 2:47 pm EDT

Residential Service Agreement Uploaded by DayStarr Fiber - connect@daystarrfiber.net IP 69.41.0.130

February 24, 2021 4:30 pm EDT

Daystarr Communications - connect@daystarrfiber.net added by Collin Rose - collin.rose@daystarrfiber.net as a CC'd Recipient Ip: 2607:f038:fffb:0:5e1:692a:3327:69fc

June 9, 2021 11:56 am EDT

Document owner connect@daystarrfiber.net has handed over this document to caitlin.brewer@daystarrfiber.net 2021-06-09 11:56:09 - 69.41.5.15