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Cignal Upgrade Add-Box Form

This form is for upgrading or adding boxes to an existing satellite TV account. It lists the current and new plan options including prices and allows the customer to select an upgrade, add additional boxes, and provides spaces for their signature and payment details. It also notes that upgrading from SD to HD service will extend the lock-in period on the customer's agreement.

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jennyMB
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717 views2 pages

Cignal Upgrade Add-Box Form

This form is for upgrading or adding boxes to an existing satellite TV account. It lists the current and new plan options including prices and allows the customer to select an upgrade, add additional boxes, and provides spaces for their signature and payment details. It also notes that upgrading from SD to HD service will extend the lock-in period on the customer's agreement.

Uploaded by

jennyMB
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Upgrade and Add-box Form

Territory Partner: Account Number: Account Name: Installation Address: Contact Number: Upgrade Current Plan 250 Prepaid SD 390 Post-paid SD 390 Prepaid SD 590 Post-paid HD 590 Prepaid HD 990 Post-paid HD 1290 Post-paid HD New Plan 250 Prepaid SD 390 Post-paid SD 390 Prepaid SD 590 Post-paid HD 590 Prepaid HD 990 Post-paid HD 1290 Post-paid HD 1590 Post-paid HD Cash Lease

Cash Lease Note:

Lock-in period will be extended for the following upgrades: SD Lease to HD Lease - extended up to ______, 20__ SD Cash to HD Cash - extended up to ______, 20__

Add-box 2nd box 3rd box Payments P_____ installation fee P _____ box fee Customer Signature This Upgrade Form amends among others, the Lock-in Period for the receipt by the Subscriber of the DTH Service from MediaScape, Inc. (MSI), which are part of the Residential Direct-to-home Service Agreement (Service Agreement) between the subscriber and MSI. In case of conflict between the terms of the Service Agreement and this Upgrade Form with respect to the matters covered herein, the terms of this Upgrade Form shall prevail P500 truck roll fee P3,000 upgrade fee

By signing below, Subscriber acknowledges and agrees that he has received, read, understood and agrees to be bound by all of the conditions set forth in this Upgrade Form

Signature over Printed Name To be filled out by the TP/ Sub-Dealer Dealer/ Sub-Dealer Name: Contact No.:

Date

STB No.

SmartCard No. LNB No.

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