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Agreement Form

The document is an agreement form stating that the issued modem is company-owned and was not included in the initial installation fee. It requires the customer to surrender the modem upon permanent disconnection, with a fee applicable if it is not returned. The form includes spaces for customer details and signature.

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leneth4ever.27
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10 views2 pages

Agreement Form

The document is an agreement form stating that the issued modem is company-owned and was not included in the initial installation fee. It requires the customer to surrender the modem upon permanent disconnection, with a fee applicable if it is not returned. The form includes spaces for customer details and signature.

Uploaded by

leneth4ever.27
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AGREEMENT FORM

Please be informed that the issued modem with Serial Number: __________________ is
company owned, and was NOT included on the initial fee made upon installation. If the customer request for
permanent disconnection, the MODEM MUST BE SURRENDERED. Please be advised that there will be
corresponding fee if not returned.
Date:
Name:
Address:
Contact:
Tech :
Plan:
I. D:

Client Signature

AGREEMENT FORM
Please be informed that the issued modem with Serial Number: __________________ is
company owned, and was NOT included on the initial fee, upon installation. If the customer request for
permanent disconnection, the MODEM MUST BE SURRENDERED. Please be advised that there will be
corresponding fee if not been returned.
Date:
Name:
Address:
Contact:
Tech :
Plan:
I. D:

Client Signature

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