Cascade Communications::ADSL Registration Form

netINS-DSL Express Provided by

CASCADE COMMUNICATION COMPANY

ADSL

Name:                                                                                                                                  

(Please type or print, illegible forms will delay processing)

Organization:                                                                                                        

Address:                                                                                                                           

City:                                                       State:                                       Zip:                           

Daytime Telephone: (          )           -                 Fax Telephone: (         )         -                          

Billing address if different                                                                                             

Preferred Username:                                                                (15 Characters Max.)

Mother's Maiden Name:                                               (Needed For password Security)

Free Additional Email Accounts
1st Additional username: ____________________  Real Name: _____________________
2nd Additional username: ____________________  Real Name: _____________________
3rd Additional Username: ____________________  Real Name: _____________________
4th Additional Username: ____________________  Real Name: _____________________  

Does customer have a current dialup  account?________ If yes, would customer like
to keep dialup access for $10.00 per month? _____ If Yes, Username?_________________

CIRCLE ONE                                                    System Type:   System (Choose one)

ADSL with Internet Access                                Mac                             Win 2000 ______
512k up, 1M down  $47.00/month                     Win95                          WinME ______      Vista ______
768k up , 1.5M down $99.00/month                   Win98                          WinXP _______    iMAC ______   
              
DATA RATES LISTED ARE MAXIMUMS AND ARE NOT GUARANTEED.
Set Up Fee  $ 99.00 DSL Install Fee (waived with one year agreement)

    Prices and Availability subject to change without notice.

A signature is required to process your order. Your signature below indicates acceptance of the terms and conditions on the back of this form.

Customer Signature                                                                     Date              /           /                 

Please return this completed form to:  

Cascade Communications Company
 

106 Taylor St. SE, PO Box 250
 

Cascade, Iowa 52033-0250

 

 

Terms and Conditions

  1. By signing this registration form and agreement, you (customer) agree to the following terms and conditions of the service described below.

  2. These services are proved by netINS, 4201 Corporate Drive, West Des Moines, IA, 50266-5906.

  3. Telephone technical support is available upon activation of your account.

  4. All charges will be billed on your approved credit card as described on the DIALUP REGISRATION FORM. If for any reason a posting to your credit card is not accepted, your service may be discontinued. An additional registration fee, as well as re-establishment of valid credit, will be required to re-establish service.

  5. Cascade Communications and/or INS 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 proved by netINS. Cascade Communications and/or netINS makes no attempt to verify accurate receipt of any message and are not responsible for any loss of data resulting from delays, non deliverables, incorrect deliveries or service interruptions, including those caused by the negligence, errors, or omissions of netINS nor for consequential damages regardless of their cause.

  6. Customer agrees to comply with the terms governing use of the netINS network, as they may change from time to time. Any changes to the terms governing use of the netINS network will be posted as warranted on the netINS computer system.

  7. This agreement shall be governed by and construed in accordance with the laws of the state of Iowa applicable to contracts to be performed entirely within the state.

  8. Either party may terminate this agreement at any given time by giving written notice. Such notice is effective when given. Customer is obligated to pay for service through the termination date as detailed on the final invoice.

  9. By accessing and using the netINS computer system, 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 prosecutions and penalties. User agrees to indemnify netINS against liability for any and all use of user's account.

  10. Hardware, Software and Equipment. Customer is solely responsible for providing all computer and ancillary equipment necessary to access the Services provided by the Cascade Communications (Company). The Company makes no representations, warranties or assurances that hardware, software or other equipment independently purchased or otherwise owned or rented by Customer will be compatible with the Services provided by the Company. If approved by the Company and subject to availability, Customer may rent or purchase equipment from the Company.

  11. Damage or Loss of Information. Under no circumstances whall the Cascade Communications (Company) be liabile to Customer or any third party for loss of information or damage to Customer's hardware, software or other equipment used by Customer to gain access to the Services provided by the Company. The Company is not liable and cannot be held responsible for any damages caused by Company's installation or repair of such equipment at Customer's request.