Service Application

Person(s) financially responsible for this account.

BILLING: Statements will be mailed to the subscriber within the first week of the month. Monthly charges will be billed one month in advance. Failure to receive a bill does not relieve the subscriber of the responsibility for payment. Employees are not allowed to accept payments outside the business office. LATE PAYMENT: In the event that payment is not received in full by 12 noon on the 20th day of the same month in which service is rendered, a late charge of $2.00 minimum or 1 ½% of the outstanding balance will be assessed. A reminder notice will be mailed to the subscriber. NON-PAYMENT: If the delinquent account is not paid by 12 noon on the 10th day of the month following the month in which service was rendered, all services will be suspended. For subscribers with dial tone, 911 and 611 (business office) will remain active. When the 10th falls on a Friday or a day the business office is closed, service will be suspended on the following business day. RESTORAL: Any account that is suspended for non-payment will be assessed a $28.00 restoral fee. Service will be restored during regular business hours after the account balance and restoral fee have been paid in full. NEW SUBSCRIBER: New subscribers will be required to sign the Prompt Payment Contract. Under the Prompt Payment Contract, payment is due in full by 12 noon on the 15th day of the same month in which service is rendered. Prompt Payment customers will not receive a reminder notice. In the event that payment is not received in full by 12 noon on the 15th day of the same month in which service is rendered, all services will be suspended. For subscribers with dial tone, 911 and 611 (business office) will remain active. When the 15th falls on a Friday or a day the business office is closed, service will be suspended on the following business day. Any account that is suspended for non-payment will be assessed a $28.00 restoral fee. Service will be restored during regular business hours after the account balance and restoral fee have been paid in full. The Prompt Payment Contract will be in effect for one year. If during the year service is suspended for non-payment, the contract will be extended until a satisfactory credit rating has been established. In lieu of the Prompt Payment Contract, subscribers may elect to enroll in the Automatic Payment Plan. NON-SUFFICIENT FUNDS: All checks returned for non-sufficient funds will be assessed a $30.00 surcharge, plus any applicable taxes. RECOVERY OF SUBSCRIBER DEBT TO THE COOP: The Company will collect any written off balances from the subscriber’s standard capital credit account. Subscribers will be assessed a 40% discount on their standard capital credit account when used for the recovery of a debt to the coop.

I agree to have my account paid in full by 12 noon on the 15th of the month in which service is rendered. I understand that if payment is not received in full by 12 noon on the 15th of the month in which service is rendered, all services will be suspended. When the 15th falls on a Friday or a day the business office is closed, service will be suspended on the following business day. I understand that if my account is suspended for non-payment, a $28.00 restoral fee will be assessed. Service will be restored during regular business hours after the account balance and restoral fee have been paid in full. I understand this agreement will be in effect for one year and if during the year service is suspended for non-payment, the contract will be extended until a satisfactory credit rating has been established.

Automatic Payment Plan subscribers will continue to receive a monthly bill. The deduction will occur on the 15th of the month. When the 15th falls on a day the business office is closed, the deduction will occur on the following business day. The Automatic Payment Plan will continue in effect until TrioTel receives notification of termination; subject to the file processing date. Any payment returned for non-sufficient funds will be assessed a $30.00 surcharge, and may result in removal from the Automatic Payment Plan.

The FCC has adopted rules to protect your privacy with regard to telecommunications information that is personal to you. This information is called Customer Proprietary Network Information (CPNI) and can be found in your calling and billing records. CPNI includes information such as the type of services subscribed to, current charges, calling patterns and any other information that may appear on a subscriber's bill. From time to time TrioTel may change its service offerings and make available new features or services that may enhance or improve the services to which you are already subscribed. Allowing us to use the CPNI in your account gives us the ability to give you more personalized service and offer you the products and services that best fit your needs. If you allow us to use your CPNI, it will be used only by TrioTel. TrioTel does not share customer information.

TrioTel will only discuss account information with the person(s) authorized on the account. TrioTel will verify each person when coming into the office by asking to see a picture ID, or when calling, by asking for the last 4 digits of the account holders SSN (or if a business, the password on the account). Authorized individuals may receive information and make changes to the account.

I/We, the undersigned, a person(s), firm, association, limited liability company, partnership, corporation or body politic or subdivision thereof may become a member of TrioTel Communications, Inc. (hereinafter called the “Cooperative”) by complying with each of the following: Make this written application for membership and communication service; Agree to purchase from the Cooperative local telephone exchange service or broadband internet service and to pay promptly for such service(s) the Cooperatives established tariffs, rates and fees; Agree to comply with and be bound by the Articles of Incorporation and the Bylaws of the Cooperative and any rules and regulations adopted by the Board of Directors; and Agree that no member may hold more than one membership interest in the Cooperative, and no membership shall be transferable except as noted in the Bylaws.

I understand the telephone activation fee is $32.00 and includes the wiring of one jack.

Approximate per month for local telephone service with federal, state, city, and other regulatory fees.

Calls within the 605 area code.

Calls outside the 605 area code.

I hereby authorize TrioTel to implement the long distance carrier of my choice for IntraLATA and InterLATA. I understand that it is my responsibility to contact the long distance provider chosen to set up billing information and an appropriate calling plan.

A Primary Interexchange Carrier (PIC) Freeze will prevent a Long Distance provider initiated change being made to your account.

In accordance with the Federal Communications Commission (FCC) rule FCC-15-98 known as ‘Ensuring Continuity of 911 Communications’, TrioTel Communications, Inc. is providing voice subscribers with information regarding backup battery options to ensure the availability of emergency 911 dialing during a power outage. This notification is for informational purposes only. No action is required. Backup Power for Home Phone Service during a Power Outage: For many years, your home phone would allow you to stay connected to emergency voice services during a power outage. However, with a fiber-optic connection, your home phone service now requires a backup battery power to continue functioning during an outage. To avoid a disruption of home voice service during a power outage, and to maintain the ability to connect to 911 emergency services, TrioTel has provided and installed a backup battery unit. What Your Battery Can-and Can’t-Do for You: TrioTel’s backup battery will allow you to make emergency calls during a power outage. Without a backup battery or alternate backup source, such as a generator, you will not be able to make any calls, including emergency calls to 911. The only way to maintain the ability to use your home phone is by using some form of backup power. During a power outage, voice calls should be limited to emergency and essential calls to conserve battery power and extend the time available to make calls. TrioTel recommends you have at least one corded telephone connected directly to an active phone jack for emergency use in the event of a power outage. The backup battery does not provide power to any services other than voice. TrioTel’s television and internet services, along with home security systems, medical monitoring devices, and other electronic equipment will not run on a home phone backup battery and will not function when power is out. Expected Backup Power Duration: The backup battery TrioTel has provided is expected to last up to 8 hours on standby power. If you feel this is not enough time, you may extend your standby power by purchasing a 24-hour backup battery unit. Purchase and Replacement Options: If you wish to purchase a 24-hour backup battery and power supply unit, please contact TrioTel for pricing. Replacement batteries may be purchased from TrioTel or online. Please contact TrioTel for information regarding specific models and requirements. Installation of the 24-hour backup battery and power supply unit is included in the price when purchased from TrioTel and installed at the time of telephone service connection. TrioTel does not supply any warranty on the backup battery units. Instructions for Proper Care and Use of Your Battery: Please follow the instructions included with your battery for proper use, storage, and care of the battery to ensure that it will function as needed during a power outage. The estimated life expectancy for the battery is 2-4 years. Environmental factors, such as temperature, power outage frequency, usage, and battery age can affect the performance and the life expectancy of the battery. Batteries should be stored in locations under normal room temperatures. Please refer to your battery’s instruction manual for details on the warning indicator lights and battery replacement procedure. Please follow the battery’s instructions on testing your battery to verify both the operation of the backup battery and its condition. Make sure to plug the unit back in at the end of testing. The backup battery unit TrioTel has provided performs self-tests and is monitored for life expectancy.

I understand the TrioVision activation fee is $99.00 and includes the wiring of one jack. A $25.00 charge will apply for each additional jack; including new jacks or existing jacks that require new wiring. TV’s must be in place. TrioVision service is subject to a one year contract. Additional set top box equipment is subject to a six month contract. Set Top Boxes, power supply cords and remotes are the property of TrioTel and must be returned when services are disconnected. When connecting to both TV and Internet, only one $99.00 installation/activation fee will apply, and only the wiring of one jack will be included.

Terms of Service: The term of this contract is one year (365 days) from the date of installation. Additional set top box equipment is subject to a six month contract. If TrioVision service is terminated before one year or if additional set top box equipment is removed before six months, subscriber agrees to pay an early termination fee, up to $250.00. Billing Terms: All monthly charges are to be paid in advance or at the time billed by TrioTel, and no portion of such monthly charges will be refundable unless for services rendered. TrioTel will provide subscribers with a statement for each billing cycle. Statements will reflect: payments, credits, purchases, and any other charges to the account for all services received, the amount owed to TrioTel, and the date the payment is due. Payment of an outstanding balance is due in full by the date due. If we do not receive payment in full by the date due on the billing statement, TrioTel has the right to deactivate all services. Subscribers should be advised that the first bill may be larger than normal, and may include: activation/installation fees, the previous month’s prorated monthly charges along with the current month’s charges, equipment purchases, costs for labor and materials during installation, plus any other charges or miscellaneous fees. Payment For Service: Subscriber agrees to pay for all TrioVision subscriptions, pay-per-view or video on demand purchases (as available), and other services required by this Agreement or which are ordered by the subscriber or anyone who uses the subscriber’s TrioVision system, whether with or without subscriber’s permission, through all periods until the subscription and other services are canceled. Subscriber is responsible for all pay-per-view or video on demand purchases and will not be issued credit for duplicate programming purchases, failure to record purchased programming, interruptions due to power outages or equipment failure, or any other instance in which the outage, interruption or error was beyond the reasonable control of TrioTel. It is the subscriber’s responsibility to maintain and enforce the pay-per-view, video on demand, and parental locks on the interactive program guide. TrioTel may, based on credit score or payment history, require a deposit or payment in advance for services, limit the services available, or take other action to secure subscriber obligation to TrioTel as a condition of subscribers continued receipt of services. Fees and Charges: In addition to the amounts due for TrioVision programming services, subscriber agrees to pay the following charges, if applicable, in the amounts stated, as amended from time to time: Activation/Installation Fee $99.00: Subscriber agrees to pay the Activation/Installation Fee prior to the activation/installation of TrioVision service. Additional charges may apply if subscriber requires an HPNA box or if subscriber requests extra Category 5 cable. A $5.00 programming fee may apply if subscriber changes premium movie channels and/or package plans. TV Jack Fee $25.00: TrioVision activation/installation includes the wiring of one TV jack. Subscriber agrees to pay the TV Jack Fee for each additional jack; including new jacks or existing jacks that require new wiring. If a set top box can be plugged into an existing jack and the TV works, no fee will apply. Vacation Fee $25.00: TrioVision service may be put on vacation for a minimum of three months. Subscriber agrees to pay the Vacation Fee when TrioVision service is restored. Late Payment Fee $2.00 or 1 ½% of the Outstanding Balance: Subscriber agrees to pay the Late Payment Fee if payment is not received by the date due on the billing statement. Subscribers on the Prompt Payment Plan will not receive a late notice, instead, services will be suspended if payment is not received by the date due on the billing statement. Restoral of Service Fee $28.00: Subscriber agrees to pay the Restoral of Service Fee if TrioVision programming service has been suspended and wishes service to be restored, in addition to bringing the account up to date by payment in full of any outstanding balances, fees, and charges. Returned Payment Fee $30.00: Subscriber agrees to pay the Returned Payment Fee if the bank or other financial institution on which payment is drawn refuses to pay TrioTel for any reason, and the check, money order, or any other instrument is returned to TrioTel unpaid. Equipment Agreement: Subscriber agrees that all equipment installed in or on the premises is the property of TrioTel; and will not deliberately alter, tamper with, or remove equipment; and will exercise reasonable care to prevent damage or loss of the equipment. If the equipment is tampered with, lost, stolen, or not returned, subscriber agrees to pay TrioTel for the repair or replacement of the equipment. If it is necessary for TrioTel to commence legal proceedings for the recovery of such damages, any amounts due under this Agreement or by law, or for the recovery of the TrioVision equipment, subscriber agrees to pay any unpaid balance due TrioTel, legal costs of collection, plus 1 1/2% interest per month. The purchase and replacement of remote batteries in the future will be the subscriber’s responsibility. If a remote is lost or damaged, replacement remotes can be purchased from TrioTel. TrioVision equipment is and shall remain the property of TrioTel. Upon termination of TrioVision service, the equipment must be returned to an authorized representative of TrioTel in proper undamaged condition within 72 hours. Subscriber agrees to return all equipment to the TrioTel Business Office located at 330 S. Nebraska St., Salem, SD, or will otherwise make arrangements for an authorized TrioTel representative to recover the TrioVision equipment from subscriber’s residence. In the event of a software upgrade, hardware failure, or factory restoral subscriber’s DVR set top box may lose any or all content recorded. TrioTel is not responsible for lost recordings, pay-per-view or video on demand purchases. Service limitations and restrictions may apply in certain areas. Pricing may vary and is subject to change.

Check all that apply.

Multiple devices or high demand applications such as streaming HD, video conferencing, and online gaming may require a higher-speed Internet connection. Pricing is based on Internet speed, not usage.

Multiple devices or high demand applications such as streaming HD, video conferencing, and online gaming may require a higher-speed Internet connection. Pricing is based on Internet speed, not usage.

Multiple devices or high demand applications such as streaming HD, video conferencing, and online gaming may require a higher-speed Internet connection. Pricing is based on Internet speed, not usage.

Multiple devices or high demand applications such as streaming HD, video conferencing, and online gaming may require a higher-speed Internet connection. Pricing is based on Internet speed, not usage.

This is used for your Internet service ID. The TrioTel email does not need to be activated.

_____@triotel.net

I understand the Internet activation fee is $99.00 and includes two labor hours for installation and the wiring of one jack. A $25.00 charge will apply for each additional jack; including new jacks or existing jacks that require new wiring. If the installation exceeds two labor hours, additional charges may apply. When connecting to both TV and Internet, only one $99.00 installation/activation fee will apply, and only the wiring of one jack will be included.

I understand the Internet activation fee is $99.00 and includes two labor hours for installation and the wiring of one jack. A $25.00 charge will apply for each additional jack; including new jacks or existing jacks that require new wiring. If the installation exceeds two labor hours, additional charges may apply. When connecting to both TV and Internet, only one $99.00 installation/activation fee will apply, and only the wiring of one jack will be included.

I understand the Internet activation fee is $99.00 and includes two labor hours for installation and the wiring of one jack. A $25.00 charge will apply for each additional jack; including new jacks or existing jacks that require new wiring. If the installation exceeds two labor hours, additional charges may apply. When connecting to both TV and Internet, only one $99.00 installation/activation fee will apply, and only the wiring of one jack will be included.

I understand the Internet activation fee is $99.00 and includes two labor hours for installation and the wiring of one jack. A $25.00 charge will apply for each additional jack; including new jacks or existing jacks that require new wiring. If the installation exceeds two labor hours, additional charges may apply. When connecting to both TV and Internet, only one $99.00 installation/activation fee will apply, and only the wiring of one jack will be included.

Sexually explicit material can be obtained over the Internet. TrioTel Communications, Inc. will not be responsible for any activity in which you, as the user, conduct in your Internet travels. Parents may want to obtain software that will disable this type of activity. This agreement is between TrioTel Communications, Inc. (TrioTel), duly authorized and existing under the laws of the State of South Dakota with its office at 330 South Nebraska Street, PO Box 630, Salem, SD 57058, and the undersigned Customer. Service Warranties: With respect to the service provided, TrioTel makes no warranties of any kind, expressed or implied, including any implied warranty or merchantability or fitness of this service for a particular purpose. TrioTel takes no responsibility for any damages suffered by the customer, including but not limited to: loss of data from delays, non-deliveries, mis-deliveries, or service interruptions caused by TrioTel’s own negligence or customer's errors and/or emissions. Acceptable Use: TrioTel service may only be used for lawful purposes. Materials and/or transmissions in violation of any local, state, or federal regulations are strictly prohibited. This includes, but is not limited to: 1. Material legally judged to be threatening, abusive, obscene, libelous, defamatory, or pornographic. 2. Transmitted or downloaded information, software or other material that is protected by copyright or other proprietary right without permission of the person owning that protected right. 3. Information transmitted through software that contains a virus, worm, Trojan Horse, SPAM, bulk email, or other harmful component. 4. Adding, removing, or modifying identifying network heading information (aka “spoofing”) in an effort to deceive or mislead. 5. Any impersonation of another person using forged headers or other improper identifying information or engaging in any activity which would compromise customer privacy or system security or gain access to any system or data without required permission (e.g. “hacking”) of the owner. Use of Information: Use of any information obtained via this service is at the customer’s risk. TrioTel specifically denies any responsibility for the accuracy or quality of information obtained through its services. TrioTel disclaims any liability for any act or omission with regard to Internet content the customer finds objectionable or unsuitable. TrioTel does not screen in advance any specific content, and reserves the right, but does not assume the responsibility, to block or limit access to content that violates our terms and conditions. Inappropriate Usage: TrioTel or other relevant authorities may determine inappropriate usage of this account and the privilege may be revoked at TrioTel’s discretion. Should this occur, the customer will be notified in writing of this action. TrioTel also holds the right to electronically monitor its service and to disclose any information it deems necessary to satisfy any legal or operational requirements. Sharing of Passwords or Accounts: The resale or otherwise sharing of TrioTel service account information or passwords, or any other associated services by any and all means is strictly prohibited (unless approved in advance in writing by TrioTel). The customer may not resell or redistribute TrioTel service to any third party via any means, including but not limited to, wireless technology. As well as any engagement in any activity which would result in third-party charges to TrioTel. Violators are subject to the cancellation of service without prior notice. By using TrioTel service, the customer agrees to hold TrioTel harmless for content accessed when using the Internet service. Change of Status: TrioTel will occasionally require new registration and account information by the customer to continue this service. In addition, the customer shall notify TrioTel in writing of any changes in the account information. Any IP address assigned to a customer on any basis remains the property of TrioTel and may not be appropriated for any use other than as intended by TrioTel. Limitation of Liability: Neither party shall be liable to the other for any loss, damage, liability, claim or expense arising out of or in relation to this agreement or the provision of service or equipment, however caused, whether grounded in contract, tort (including negligence), or theory of strict liability. The parties agree to work in good faith to implement the purpose of this Agreement, but recognize the network connection and services to be provided by TrioTel could not be made available under these terms or other similar terms without a substantial increase in cost if the parties were to assume a greater liability to each other. Billing Terms: The monthly billing will include the current month’s Internet charges as well as any of the past month’s usage-based fees, such as: hourly service charges, equipment purchases, plus any other charges or miscellaneous fees. Subscribers should be advised that the first bill may be larger than normal, and may include: activation/installation fees, the previous month’s prorated monthly charges along with the current month’s charges, equipment purchases, costs for labor and materials during installation, plus any other charges or miscellaneous fees. All fees are non-refundable. The monthly service fees are independent of the amount of traffic or systems accessed by users at the customer's location. TrioTel reserves the right to evaluate on an individual account basis bandwidth or hardware utilization. Excessive bandwidth or hardware usage that adversely affects TrioTel’s ability to provide its Internet or any other service may result in additional account management and fees. Electronic Communications Privacy Act (ECPA) Notice: Customers are hereby notified that TrioTel does NOT offer the same degree of privacy for email or files that the customer expects from regular paper mail. Digital Millennium Copyright Act Policy: When TrioTel receives a notice from a copyright holder or its authorized representative regarding an alleged violation of law by someone using an IP address identified as belonging to TrioTel, the following actions will be initiated: 1. TrioTel personnel will review the address to determine whether the address is in use by TrioTel. 2. If the address is assigned and used by TrioTel, personnel will attempt to identify the user. If the offender cannot be identified, TrioTel will notify the copyright holder or its agent accordingly. 3. If the offender is identified, TrioTel will notify the offender by telephone, email or in writing of the offense. 4. Any copyright violations may result in termination of service. TrioTel complies with all open Internet guidelines as set forth by the FCC. Please see our Network Management Policy online at www.triotel.net/network management policy for more information. These Terms and Conditions supersede all previous representations, understandings or agreements and shall prevail notwithstanding any variance with terms and conditions of any order submitted. Use of TrioTel services constitutes acceptance of these Terms and Conditions.

$2.75 per month. Covers the diagnosis, maintenance and repair on existing telephone, Internet and video wiring and jacks in the home. Includes replacement and programming on TrioVision remote controls. Wiring not done to industry standards will not be covered by wire maintenance; nor diagnosis, maintenance or repairs to customer owned equipment such as telephones, televisions, computers or other electronic equipment. Wire maintenance does not cover labor charges associated with service calls. Other restrictions may apply.