EFTA01221212.pdf

Form Version 7/08/2010 Rethink Possible AUTHORIZATION TO CHARGE TO WIRELESS ACCOUNT HANDSETS & ACCESSORIES COMPANY NAME Little Soint Jomes COMPANY • 6100 Red Hook OU 845n VI ABI NUMBER DATE 12-Apr-I I SALES REPRESENTATIVE Astrid. Roman ACCOUNT NUMBER 287004751025 CHARGE TO ACCOUNT HANDSET PURCHASE QUANTITY MODEL / SIM CARD UNIT PRICE M1SC/OTHER TOTAL PRICE I I-Phone 3gs 8gb $4999 340-201-9533 $4999 2 I-Phon 3gs 8gb $4999 340-244-4774 $4999 3 I I-Phone 3gs 8gb $4999 340-244-8564 $49.99 4 I I-Phone 3gs 8gb $49.99 340-244-8565 $49.99 5 I I-Phone 3gs 8gb $49.99 340-244-8566 $49.99 6 I I-Phon 3gs 8gb $4999 340-642-0905 $49.99 7 I I-Phone 3gs 8gb $4999 340-642-0906 $49.99 8 I I-Phone 3gs 8gb $49.99 340-642-6232 $49,99 9 I I-Phon 3gs 8gb $49.99 340-642-6242 $49.99 10 I I-Phone 3gs 8gb $49.99 340-642-7258 $49.99 TOTAL $499.90 CHARGE TO ACCOUNT ACCESSORIES PURCHASE QUANTITY MODEL / OESCRIPTION UNIT PRICE MISC/OTHER TOTAL PRICE $0.00 2 $0.03 3 $0.00 4 $0.00 5 $0.00 6 $0.00 7 $0.00 8 $0.00 9 30.00 10 $at» TOTAL $0.00 TAX 34.99 TOTAL APAOUNT TO BE CHARGE NAME Ann Rodrigvez. AUTHORIIEO SIGNA1U TRE Accounh Poyables CONTACT PHONE NUMBE 340-775-2525 The compcny oulhorizes the chmge ot the following handseh ond occessories lo Ihe wkeless ocCOunt deSCribed (t ove. The company is ItAly bot* for the told omount on Ilt form. The compony ezpicitly recognizes ond accepts the tonns and concSlions induded in The Wireless Service Agreement ond The Fnuivnant Mitirm Porkw on the back of Ihis dOCUTOfit EFTA01221212 C a Rethink Possible Form Version 7/08/2010 AUTHORIZATION TO CHARGE TO WIRELESS ACCOUNT HANDSETS & ACCESSORIES COMPANY NAME Lillie Saint James COMPANY n# 6100 Red Hook Oh 8-330 VI MI NUMBER DATE 12-Apr-11 SALES REPRESENTATIVE AsInd. Roman ACCOUNT NUMBER 287004751025 CHARGE 1O ACCOUNT HANDSET PURCHASE QUANTITY MODEL / SIM CARD UNIT PRICE MISC/OTHER TOTAL PRICE I I-Phone 3gs 8gb $49.99 340-642-8763 $49.99 2 I-Phone 3gs 8gb $49.99 340-6433555 $49.99 3 $0.00 4 $0.00 5 $0.00 $0.00 7 $0.00 8 $0.00 9 $0.00 10 $0.00 TOTAL $99.98 CHARGE TO ACCOUNT ACCESSORIES PURCHASE QUANTITY MODEL/DESCRIPTION UNIT PRICE MISC/OTHER TOTAL PRICE $0.00 2 $0.00 3 $0.00 4 $0.00 5 $0.00 6 $0.00 7 $0.00 8 saw 9 $0.00 10 $0.00 TOTAL $0.00 TAX 7.00 TOTAL AMOUNT TO RE CHARGE NAME Ann Rodrictue AUTHORIZED SIGNATURE TITLE Accounts Poyobles CONTACT PHONE NUM 340-775-2525 The company authorizes the charge of the following handsets and accessories to lb. wireless account described above. The compony is tiny liable for the told amount on this form. The company explcitly recognizes and accepts the terms and condlions included in the Wireless Service Agreement and the Egbinment Rah en Point nn Ihe bock of this document. EFTA01221213 t' Rethink Possible Equipment Return Policy If you are not satisfied with your purchase within 30 days, AT&T will issue an exchange or refund if: • . Original proof of purchase is provided and ` Equipment is return in like new condition with all original components. Missing components must be replaced prior to exchange/return being processed. • Returns ore subject to a $35 restocking fee except where prohibited (excludes Apple branded equipment). * Apple branded equipment is subject to a 10% restocking fee except where prohibited. • You may exchange/return equipment one time within the 30 day return period (excludes Apple branded equipment with warranty related issues). • Gift Cards, iTunes Gift Cards, GoPhone replenishments (feature cards, refill cards, PINs 8. direct deposits) and Ringtone cards are not refundable. • AppleCare Protection Plan and MobileMe packaging must be sealed in order to be exchanged /returned. • Refunds issued based on payment method. Refunds from check purchases will have a 10 business-day waiting period before a refund can be requested. • See complete AT&T Returns Policy, at www.att.com/returnpolicy Note: If you cancel service within 30 days of activating but do not return the equipment, you may have to pay an Equipment Fee. This Fee is the difference between the no-commitment price and the actual amount paid for the original purchase of the equipment. Warranty For repairs or replacement of your wireless phone (under warranty), call 1-800-801-1101 or go to www.att.com. Original proof of purchase is required for all warranty exchanges. AT&T does not cover or service warranty issues for iPhone. Apple Branded Equipment is covered by Apple's one-year Limited Warranty. All warranty related issues for Apple equipment including those during the first 30 days. are supported by Apple at www.apple/support, I -800-MY-(PHONE, or Apple Retail locations with an appointment. EFTA01221214