Facility Info:
Facility Name
*
Site Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signor's Info:
Name
*
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
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Order Info - Monthly Charges MRC
Service
*
Qty.
*
Price
*
Total
Service
Qty.
Price
Total
Service
Qty.
Price
Total
Service
Qty.
Price
Total
Total MRC
One Time Charges NRC
Service
Qty.
Price
Total
Total NRC
Term Length
Term (Months)
*
Email Blank Contract
If you prefer to send a blank copy of this contract via email—whether to a colleague or directly to the customer without using e-signature—you may do so using the form below. The contract will be sent to the email address entered here.
Email 01
example@example.com
Email 02
example@example.com
Edit Terms
Terms of Service
his Service Order is subject to and governed by the Empire Unified Master Services Agreement General Terms of Services and the various Empire Terms of Service and/or policies (“TOS”) documents for voice or any other Empire Unified Services which are attached hereto or available at https://empiretelecomnj.com/terms/ (collectively with this Service Order, the “Agreement”). Your signature acknowledges that you have read, understand the TOS and accept the terms and conditions of the Agreement and that you are duly authorized to execute and deliver this Service Order. The Agreement is incorporated by reference into this Service Order and by signing this Service Order, Customer agrees to the Agreement. Unless otherwise defined herein, capitalized terms used herein shall have the meaning ascribed to them in the Agreement. This Agreement constitutes the entire agreement between the Parties and supersedes all prior agreements (written or oral), understandings, statements or proposals concerning the Services. No statement, representation or warranty made by any agent or representative of Empire regarding the Services to be provided hereunder or the rates therefore shall be binding upon Empire unless expressly included herein. By signature above Customer promises to pay Empire all fees and charges set forth above under the Agreement. This Service Order shall not become valid until an authorized representative of Customer has executed this Service Order or the order has been placed. This Service Order is not binding without an Empire authorized signature. The Parties hereby acknowledge that the Service Order may be executed in two or more counterparts and duplicate originals, including electronic and facsimile counterparts, each of which shall be deemed an original, but all of which shall together constitute one and the same instrument. The Parties intend that any counterpart copy signed and exchanged shall be fully binding as an original handwritten executed copy and all such copies together shall constitute one instrument. This Service Order shall be held as Confidential Information by the Parties.
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