"Sales Dealer Rep Agreement"
Representative Information Sales ID: ___________ Sales Rep: __________________ Contact #: Clear Service Order Form Name: Home Phone: ____ 2nd Phone _________________ Address: Porting Phone? ______ Porting Company: ________________ City: State: _____ Zip: Current E-mail address: DOB: ___________________ SSN: __________________ Desired user name: CC#: RSU/USB Mac Address: _______________________________ Expiration Date: 3/4 security #: _______ USB Mac Address: _______________________________ Billing Address: ___________________________________ USB/ATA Mac Address: _______________________________ City: State: _____ Zip: Clear Services and Rates Equipment Take Three Clear Internet $80 RSU Modem Lease $5 /Month ____ ___ Home + Mobile + Voice $80/ Month RSU Modem Purchase $85 ____ ____ Upgrade to Clear Internet + ($10)/ Month* USB Modem Purchase $80 ____ USB Lease $4 ____ Take Two Clear Internet $60 4G Personal Hotspot $5 ____ ____ Home + Voice $60/ Month VoIP Adapter Purchase $15.00 ____ _____ Home + On the Go $60/ Month 4G+ Sierra/Hotspot $9 ____ _____ Get 2 on the Go $60/ Month 4G+ Hotspot Purchase $225 ____ _____ Upgrade to Clear Internet + ($10)/ Month ____ * 4G+ Purchase Sierra $115 ____ Get One Clear Internet $45 I-Spot/Purchase $100 ____ ____ ____ Home ____ On the Go I-Spot service Monthly $25 ___ ____ Upgrade to Clear Internet + ($10)/ Month* Service Agreement Term Home Internet 1.5MB 2 Yr. Agreement - Activation Fee Waived ____ Basic Home $35/ Month Month to Month $35.00 Activation Fee ____ Basic Home + Voice $50/ Month *$10 upgrade per device added for 4G+ device. CLEAR CUSTOMER SALES REVIEW SET UP: My rep reviewed the set up instructions and requirements for my service with me ___ I will need an Ethernet port or Ethernet adapter on my pc to connect the RSU modem. ___ I will need to install the USB drivers to be able to use my USB device. www.clear.com/support/download ___ I will need to purchase a wireless router for my RSU modem if I wish to connect wirelessly. I will have to set up my router on my own or with the help of a computer technician. CUSTOMER SUPPORT: My rep informed me of the customer support options available ___ I can reach tech support at 1-888-888-3113, this is a free service. ___ I can get online info and support at www.clear.com ___ I can access online account management on My Account at www.clear.com/myaccount BILLING: My rep reviewed the billing process ___ I am automatically billed each month on my debit or credit card ___ The date I sign up is my regular billing day. If I sign up on the 5 th, the 5th of each month my bill will cycle. ___ I am billed in advance for service each month ___ Charges include the service plan and lease fee if I did not buy my equipment and any applicable taxes for lease or phone service fees. ___ There may be a preauthorization placed on my card at the time of sign up but it will drop off after the sale is processed. This is not an additional charge. FEATURE SET: My rep reviewed the available service features ___ How I set up my email account. www.clear.com/myaccount ___Where I can update my account info: www.clear.com/myaccount ___ Where I can access my account instructions to set up or change my phone options such as voice mail ___ If I am porting my existing home phone number my port has been initiated. ___ Explained to me that if I’m porting my number I must keep my old service active until the port is complete so I do not lose access to that phone number. I understand that I will have to pay for both services until that is complete and it may in some cases take up to 30 days. Normally it will only take about 1-2 weeks. ___ Made test calls to and from my phone to insure it was set up properly. ___ Explained to me that I cannot accept collect calls with this service and I will be charged for use of directory assistance and international calling. TERMS: My rep informed me that ___ I have signed up for a 2 year agreement ___ I have signed up on a month to month agreement with purchase of the equipment and a $35 activation fee. ___ Terms of service are available at www.clear.com/legal/terms and include a cancellation policy and early termination fee explanation. I will have an early term fee or restocking fee if I cancel before my 2 year agreement is fulfilled. ___If I lease my equipment I understand it must be returned to Clear. I have to call customer care to cancel at : 1-888-888-3113. My Name is_________________________ How did you hear about Clear? __________________________________________________________________________ I would like to refer a friend or family member: _______________________ Referral phone number: _________