EPP Order Form



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 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: |Company |Automatic Deals |Date: |

| | | | | |

| |Enter your personal | | | |

| |information | | | |

| | | | | |

| | |Your Full Name | |Last 4 Digits of SSN: |

| | |Email Address | |

| | |Your Home Billing |Street (No P.O. Box): |Apt or Suite: |

| | |Address | | |

| | | |City: |State: |Zip Code: |

| | |Contact Numbers: |Daytime Phone Number: |Home Phone Number: |

| | | | | |

| | |Work e-mail Address: * | | |

| | | | |*If you want a confirmation of shipment this is required |

|Equipmen|Step Two: |Please note product subject to equipment availability. Additional service options are available at standard rates. |

|t, | |Pager Replacement Program (PRP) is an optional program to protect a customer’s pager against theft, loss, or damage beyond |

|Service,| |repair. This service allows the customer to purchase/ replace the pager at a reduced rate. |

|Coverage| | |

|and Rate|Choose the equipment, | |

|Pan |service, coverage and | |

| |rate plan, that best | |

| |meets your needs | |

| | | |

| |*You must select: | |

| |One equipment type and| |

| |one corresponding | |

| |coverage | |

| | | |

| | | |

| | | |Available Coverage* |Call Pkg/ Count |Mthly Rate | |

| | |Equipment (Available in Black Only)* | | | | |

| | | | Statewide |500 |$5.45 | |

| | | | Regional |500 |$8.50 | |

| | | | Nationwide |500 |$16.75 | |

| | |TEXT | | | | |

| | |UNICATION ALPHA ELITE or GOLD / New - $69.95 |Local |300 |$6.00 | |

| | |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 | | | | |

| | | | Statewide |300 |$7.25 | |

| | | | Regional |300 |$13.50 | |

| | |2–WAY | | | | |

| | |Unication P900 / New - $99.95 |Local Plan |Unlimited |$11.75 | |

| | |Current Promotion* | | | | |

| | |Pager Replacement Program - $2.00 Monthly | | | | |

| | |(Replacement Cost w/ PRP - $45.00) | | | | |

| | |*$9.95 Activation Fee may apply | | | | |

| | | | | | | |

| | | | 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|Step Three: |Additional voicemail options are available at standard rates |

|Services|(Optional) |If you selected our voicemail service, please provide the 4-digit access code (pass-code) you prefer in the field below. |

| |Choose the enhanced |Otherwise, we will set your access code to 1234 (which you can change at any time). |

| |service plan for | |

| |voicemail | |

| | |Package Option |

|Shipping|Step Five: | |

| | |Your order will be processed upon receipt and shipped via the option you choose. |

| |Shipping method |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 |Step Six: |Pay by Credit Card: |Credit Card Number: |

|Method | | | |

| |Please list either a |MasterCard Visa | |

| |credit card or |Discover American Express | |

| |checking account for | | |

| |payment |I 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:_______________________ | |

| | | |Name on the Card: |

| | | |Expiration Date: |

| | | |Amount: $ |

| | | |The CID, Card Identification Number, is a |Please enter a valid CID here: |

| | | |3-digit code on the back of MasterCard, | |

| | | |Visa, and Discover cards. And a 4-digit | |

| | | |code on the front of American Express | |

| | | |cards. | |

| | | | | |

| | |Pay Electronically by Check: |Bank Name: |

| | | | |

| | |Amount: $___________ | |

| | | |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 |Step Seven: | |For Verizon Wireless Paging Solutions Office Use Only: |

|Order | |Fax: (888) 234-0025 | |

| |Submit your order by | |Dept ID: Sales Rep ID: |

| |fax |Your order will be processed within 24 hours from the date | |

| | |received. When your order ships you will receive a confirmation |Company Code: |

| | |email with a tracking number. If you don’t receive an email | |

| | |after 24 hrs please call (888) 699-8977. |Required Channel Information: |

|Billing | | |

| |Billing and website |Your account will be set up on quarterly billing. This means you will receive an invoice every three months unless your bill |

| |information |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 |

| | |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. |

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