EFTA00202751.pdf

Questions or Changes? cingular • cingular.com • Toll Free I 866 2914634 • 611 from your wireless phone • TTY users - 1 866 429.7TTY Date of Invoice: July 12, 2005 SUMMARY OF MONTHLY CHARGES FOR ACCOUNT Previous Payments Late Payment Total Balance Current Monthly Balance Received Charge Adjustments Forward Charges 0.58 0.00 0.00 0.00 0.58 0.00 Total Your billing cycle began on June 12, 2005 and ended on July 11, 2005 Amount Due Current Monthly Charges 0.58 Monthly Service 0.00 Monthly Usage 0.00 Charges 0.00 Credits 0.00 Government Fees and Taxes 0.00 Total Current Monthly Charges 0.00 TOTAL AMOUNT - Due Upon Receipt 0.58 PRICELESS PEACE OF MIND ROADSIDE ASSISTANCE PROVIDES ASSISTANCE FOR MOST ROADSIDE MISHAPS AND THE BEST THING IS THE SERVICE FOLLOWS YOUR PHONE! SO NO MATTER WHOSE CAR YOU ARE IN, YOU CAN GET ASSISTANCE. AND. FOR A LIMITED TIME, GET A FREE 60-DAY TRIAL. YOU CAN SUBSCRIBE RIGHT NOW BY CALLING 1-866-293-4634. AFTER THE FREE TRIAL. ROADSIDE ASSISTANCE IS $2.99 A MONTH. SEE ENCLOSED INSERT FOR MORE INFORMATION. Note: => We Print on Front and Back Please Return This Portion With Your Payment. Service cingtrilarthaar Use of service or payment of this invoice indicates agreement with the General Terms and Conditions for wireless service. Account Name: Yes. I want to enroll in REFT and have my monthly payments Check here for change automatically deducted from the account on my enclosed check of address (see reverse) (see reverse - signature required). 1 Total Amount Date Due Amount Due Pain UPON RECEIPT 0.58 .5.01.01.1011.0000 CINGULAR WIRELESS PO BOX 8229 AURORA IL 60572.8229 0000000000000000000035224 22830000000000583 EFTA00202751 Recurring Electronic Fund Transfer (REFT): To enroll: sign below, check the REFT box on the reverse side and remit with this month's payment. Keep paying your bill until your statement indicates "Do Not Pay". REFT Agreement: I authorize my financial institution to deduct the amount of my monthly wireless phone bill from the account associated with the enclosed check and remit payment to Cingular Wireless. This authority will be effective until I notify Cingular Wireless to terminate it. I agree that I may be assessed a service charge (up to $20) or late fee or both if a payment is returned by my bank. For more information visit cingular.com/myaccount or call 1 866 293-4634. Please keep a copy of the form below and this REFT Agreement for your records or retain a copy of the blank form from next month's invoice. Questions? We can help: Cingular Wireless appreciates your business and welcomes the opportunity to assist you. Visit our website at cingular.com or contact Customer Care by dialing 611 from your wireless phone or 1 866 293-4634. tSabias que tambien ofrecemos servicio al cliente en tu idioma? Marca 611 desde tu telefono inalambrico ó 1 866 293 4634 desde cualquier telefono y oprime el ". Driving Wireless Safety: Your wireless phone gives you the freedom and flexibility to stay in touch when you travel, but don't let a phone call distract you from driving safely. Use hands-free device if allowed or required by law. Call Carefully. Arrive Safely. Processing Fees: When you pay by check. Cingular Wireless will present the check for payment by your bank electronically. Your bank account will be debited in the amount of the check and the transaction will appear on your bank statement. Your original check will be destroyed once processed. and you will not receive your cancelled check back. If we cannot post the transaction electronically, an image copy of your check will be presented for payment. For additional information, please call 1 800 682-2978. Accounts suspended for non-payment will be subject to a $25 reactivation fee per line and may be assessed a security deposit prior to reinstatement. Checks returned for non-sufficient funds will be charged up to a $30.00 fee. Local Tax: Local taxes are based on local government boundaries, the address information you provide for your account and/or your wireless telephone number. Please review the local tax charges on your bill. If you believe there is an error in the local tax charge, please contact us immediately at 1 866 293-4634. Please note that some local or state laws may require you to follow special procedures when notifying us about a local tax dispute. You may also use the form below to notify us of any change to your taxing address. Thank you for your cooperation. Early Termination Fee (ETF): If you cancel service before your contract end date (including if you switch your wireless number to another carrier), you will be charged an Early Termination Fee of up to $200. One Time Checking Account Payment Authorization Agreement (for use with kiosk payment): I authorize Cingular Wireless to make this one-time bill payment by debiting my bank account. I can cancel authorization by contacting an in-store sales person. If my bank rejects a payment. I may be charged a return fee. Please Send Correspondence To: Cingular Wireless Next Generation Correspondence P.O. Box 68056 Anaheim Hills. CA 92817-8056 0.0300129622 Change of Address Only. Please print address clearly and check the box on the reverse side. Please contact Customer Care to change the Accounf Name and transfer Financial Responsibility. New Billing Address City State Zip Home Phone ( ) Work Phone ( ) If your billing address is NOT your Tax Address, please enter the Tax Address below. (Multi line accounts should attach a list of each wireless number and the respective Tax Address.) New Tax Address Wireless Number ( City State Zip Recurring Electronic Fund Transfer (REFT) Enrollment. Please read the agreement on the top portion of this page. sign below and check the "REFT Registration' box on the reverse side. Financial Account Holder Signature Date Email Address' ❑ ' I do not wish to receive email notification of special offers available to Cingular Wireless customers. EFTA00202752  Account Number Date of Invoice cingular July 12. 2005 Page 3 of 4 LATE PAYMENT CHARGE: A 1.5% LATE PAYMENT CHARGE PER MONTH MAY BE APPLIED FOR AMOUNTS UNPAID 20 DAYS AFTER THE DATE OF INVOICE (AK 0.875%, AR 0.085%, NE 1.33%, WI 1.00%). ACCOUNT DETAILS Current Subscriber Monthly CI riber Number Subscriber Subscriber Name Charge cSubs Subscriber Monthly Charges M ar il.n 0.00 0.00 Total Current Monthly Charges 0.00 SUMMARY OF CURRENT ACTIVITY FOR - THIS SPACE INTENTIONALLY LEFT BLANK - Monthly Service Charges Item Description Service Dates Charge I CALL WAITING 06112/05 . 07;05105 0.00 2 CALLER ID 06/12105 • 07/05105 0.00 3 GO PHONE $53.98 REPLENISHMENT 06/12,05 • 07/05105 0.00 4 THREE WAY CALLING 06/12,05 • 07/05105 0.00 5 GO PHONE UNLIMITED NIGHTS AND WEEKENDS 06/12,05 • 07/05105 0.00 6 DETAIL BILLING 06112,05 • 07/05105 QS Total Monthly Service Charges 0.00 TOTAL CURRENT CHARGES FOR 0.00 EFTA00202753  tuber Date of Invoice cingular July 12. 2005 Page 4 of 4 m THIS SPACE INTENTIONALLY LEFT BLANK m I m THIS SPACE INTENTIONALLY LEFT BLANK m hIl IIIIIIIIIiii11111111iuIIIIIIIIIIIiiiII II EFTA00202754