Directory (indicate one)

Transcription

1 Internal Use Only web address: Business Office Business Office FAX # Phone # Acct # Service order # Credit Score# Updated Jan2019 VENTURE COMMUNICATIONS APPLICATION (Please print with ink. Incomplete applica on may cause a delay in service.) Due Date Billing name(s) Billing address City, State Zip Code 911 Address Customer Assurance Plan $2.25/Mo. This op on provides our customers with a plan to cover appropriate wiring within the home or place of business, at no addi onal charge. Without this coverage, these repairs will be charged at $65 per hour. If you DO NOT want the protec on of our Customer Assurance Plan, please check the box. Directory (indicate one) Published Name to appear in Phone Directory Address to appear in Phone Directory Non Published (will not appear in Directory /Directory Assistance/Caller ID ) NOTE All Eline services are NON Pub Non Listed (will not appear in Directory but is in Directory Assistance and Caller ID ) Deposit Pics Can Be Reached # Text To # Address APPLICATION FOR MEMBERSHIP The undersigned hereby applies for membership in and agrees to take telephone service from Venture Communica ons Coopera ve, a corpora on organized under the laws of the state of South Dakota (hereina er called the Coopera ve ), for the purpose of furnishing communica ons service, upon the following terms and condi ons: A. Making a wri en applica on for membership and communica ons service. B. Agreeing to purchase, from the Coopera ve, communica ons service at rates as established by the Board of Directors and to pay such amounts owed by him/her as and when the same shall become due and payable. I also agree to no fy Venture Communica ons Coopera ve when service is no longer desired. C. Agreeing to comply with and be bound by the Ar cles of Incorpora on and By-Laws of the Coopera ve and any rules and regula ons adopted by the Board of Directors. D. Agreeing to provide right-of-way and easements if necessary. By signing this applica on, I understand that I am also authorizing Venture Communica ons Coopera ve to verify my credit informa on. (If joint membership, each applicant s signature is required) Applicant:1 and Applicant 2 Social Security # / Federal Tax Id #: Applicant 2 Date of Birth Applicant 1 Applicant 2 Date: (over)

2 Venture Residen al Package Offerings Tradi onal Packages Stampede Pak $124.95* includes unlimited local phone with Communica ons package, Rushnet and Basic TV package Bonanza Pak $93.95*includes unlimited local phone with Communica on package, Basic TV Package Rush Pak $61.95*includes unlimited local phone with Communica on package and Rushnet My Choice Packages MyChoice TV Stampede Package-$92* includes Phone, Rushnet and Founda on Line-up MyChoice TV Bonanza Package-$61* includes Phone and Founda on Line-up TV Solo Core TV -$55* TV Solo Basic TV-$109* TV Solo MyChoice TV $65* Communica ons Package included on local residen al phone service: Call Wai ng, Call Forwarding, Call Transfer, Ring Again, 8 # Speed Calling, Three way Conference Calling, Caller ID and Voic . Addi onal phone features are available, call office for more informa on. *Residen al Services Only *Taxes, regulatory fees, Retransmission Fee Not included *$2 discount online bill/online pay Business Phone Services Additional Video Service offerings Call Wai ng Caller ID $1.00/Mo $3.50/Mo DVR Suite: $7.99**/month DVR (Digital Video Recorder: $5.99/month Call wai ng/caller ID $5.50/Mo Voic $6.00/Mo Call Forwarding Always (*72&*73) $1.00/Mo Trunk Hun ng (per line in rollover group) $8.95/Mo * Please call our office for your specific Business needs* Authorized Contacts (please print legibly) Contact s Phone # Whole Home DVR: $2.00/month requires Basic DVR Venture Extra Channels Package: $6.95/month HBO Showtime Starz Cinemax Epix price vary Access to WatchTVEverywhere,& My TV Portal (free with subscription) Call the Venture office for more information on Add ons Mailing Address These individuals will then be able to call in and inquire about my bill, make changes to my account, and add or disconnect services. Please add them to my account as authorized contacts 1) 2) INTERNET SERVICE OFFERINGS: Please contact Venture office to ac vate ALL Rushnet High Speed Internet services included in the Paks and for details on higher speed services. Rushnet Residen al $63.95 up to 50 Mbps down/up* $70.95 up to 100 Mbps down/up* $80.95 up to 250 Mbps down/up* $ up to 500 Mbps down/up* $ up to 1Gb down/up* *Speeds not guaranteed Rushnet Business $83.95 up to 50 Mbps down/up* $93.95 up to 100 Mbps down/up* $ up to 250 Mbps down/up* $ up to 500 Mbps down/up* $ up to 1Gb down/up* *Speeds not guaranteed

3

4 Dear New Venture Customer, We think you will be very happy with your decision to subscribe to services from Venture Communications. Venture offers 2 different automatic payment options for your billing convenience. (1) Bank deduct from a checking or savings account, or (2) automatic payment via credit or debit card. Please fill out ONE of the 2 payment options to set up automatic payment. Filling out both options will cause a delay in setting up your automatic payment arrangement. OR You can set up your electronic payment and electronic billing information on our website, via the PayBill link. You will need to have your Venture account number to set up your account online. Example After you receive your first paper bill you can also choose to set up paperless billing and receive a $2 discount on your services. You will need to be subscribed to both Paperless bill and have set up automatic payment. This means you will only receive an notification that your bill is ready to view online no paper copy will be mailed to you. If you need any assistance, please call us at Thank you and we look forward to your continued business. Sincerely, VENTURE COMMUNICATIONS COOPERATIVE

5 DIRECT PAYMENT PLAN Payment Op on 1 Venture Communica ons, Inc. is pleased to introduce our Automated Bank Debit Program. This free service is convenient and easy. We will automa cally debit your checking or savings account at any financial ins tu on in the country. The automa c debit will occur on approximately the 24 th of each month for the current month s bill. This however, may change depending on holidays and weekends, at which me it will be debited the following business day. AUTHORIZATION FOR DIRECT DEBIT I authorize Venture Communica ons, Inc. and the financial ins tu on named below to ini ate entries to my checking/ savings account. The authority will remain in effect un l I no fy you in wri ng to cancel it in such me as to afford the financial ins tu on a reasonable opportunity to act on it. I can stop payment on any entry by no fying my financial ins tu on 3 days before my account is charged. Please Select One: New Direct Debit Customer Exis ng Direct Debit Customer Changing Bank Informa on (NAME Please Print) (VENTURE TEL# &/or ACCT#) (ADDRESS Please Print) (CITY) (STATE) (ZIP CODE) (NAME OF FINANCIAL INSTITUTION) (BRANCH)) Bank Account No. Checking or Savings Financial Ins tu on Rou ng Number (On the bo om le of your check) (SIGNATURE) (DATE) STAPLE VOIDED CHECK HERE

6 CHARGE TO YOUR CREDIT CARD Payment Op on 2 Venture Communications, Inc. can now debit your credit card for your monthly telephone bill. This free service is convenient and easy. We will automatically debit your credit card. The automatic debit will occur on approximately the 22nd of each month for the current month s bill. This however, may change depending on holidays and weekends, at which time it will be debited the following business day. AUTHORIZATION FOR CREDIT CARD DEBIT I authorize Venture Communications, Inc. to charge my credit card on a monthly basis for all billing charges. The authority will remain in effect until I notify you in writing to cancel. (NAME - PLEASE PRINT) (VENTURE TEL# &/or ACCT#) (ADDRESS - PLEASE PRINT) (CITY) (STATE) (ZIP CODE) (NAME OF CREDIT CARD) (EXPIRATION DATE) (ADDRESS FOR CREDIT CARD STATEMENT PLEASE PRINT) (CREDIT CARD NUMBER) (CVV2 NUMBER)* (SIGNATURE) (DATE) * The CVV2 number is located on the back of your credit card. They are listed above your signature (see diagram).