1. Print out the following form and return it to:
2. Within a couple of days, check your E-mail. You will receive a message explaining what to do next.
Name:
_________________________________
Street Address: __________________________ P.O. Box:
_________________
City/State: ______________________________ Zip:
______________________
Telephone: ______________________________ Fax:
______________________
E-mail:
______________________________________________________________
(Please indicate an E-mail address for each computer you are
requesting service for.)
Activation and Installation Fees
Subscribers to the Guaranteed Protection Plan agree to install or
have installed on their computer the software provided by Security
Coverage, Inc. At the customer’s discretion, either a $7
professional installation fee, or a $2 “install yourself” fee will
be implemented at the start of the service.
Monthly Service Fees
Subscribers of the Guaranteed Protection Plan shall pay $5.95 per
month. The monthly service fee shall be in addition to the
aforementioned activation and installation fees.
Please indicate how many computers you like this service applied to.
(Note: all fees are charged on a per computer basis.) __________
_________________________________
____________________
Subscriber
Date
Peetz Cooperative Telephone Company PO Box 155 Peetz, Colorado 80747
