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Ayrshire Communications
DSL Internet Application
Services provided through Northwest Communications
CUSTOMER INFORMATION
Do you currently have dial-up Internet? Yes No           
If yes, who is your provider? Northwest Communications NetINS
If Northwest, would you like to keep your dial-up account? Yes No
If NetINS, would you like NetINS mail routed to your new AyrshireIA.com account? Yes No
 *Name:
 *Street Address:
 *City:
 *State:         *Zip:
 Billing Name (if different):
 Mailing Address:
 City:
 State:         Zip:
 *Home Phone with Area Code:
 Work Phone with Area Code:
 FAX (With Area Code):
 County:
 Your Social Security Number:                   Your Federal Tax ID Number:                    Your Mother's Maiden Name (For Security):      
PRIMARY E-MAIL ADDRESS
 *1st Requested Choice - no punctuation                  *2nd Requested Choice
 (Or current NCN e-mail address):                              (if 1st isn't available):
@AyrshireIA.com    @AyrshireIA.com
E-Mail Address Note:  Eight characters or less.  If yours is unacceptable or unavailable, one will be chosen for you.
NOTE: If you are a current Northwest Communications customer, your @ncn.net address
will still work with Ayrshire Communications DSL.
*Denotes Required Fields
DSL PLANS
  Residential 64k - $24.95/Month
Plus $95 Installation
1 year contract. Includes 1 e-mail address,
and storage of a personal web site, up to 5MB.
Residential customers ONLY.
  Residential 512k - $39.95/Month
Plus $95 Installation
Up to 6 times faster than dial-up!
1 year contract. Includes 1 e-mail address,
and storage of a personal web site, up to 5MB.
Residential customers ONLY.
  Residential 512k with 2nd line
$34.95/Month + 2nd line charge
Plus $95 Installation
DSL frees up 2nd line for voice, fax, etc.
1 year contract. Includes 1 e-mail address
and storage of a personal web site, up to 5MB.
Residential customers ONLY.
Ayrshire Communications telephone customers only
  Residential 1MB - $39.95/Month + 2nd line charge
Plus $95 Installation
1 year contract. Includes 1 e-mail address
and storage of a personal web site, up to 5MB.
Residential customers ONLY.

Faster speeds available.
Call 712-426-2800 for more information.


Not all locations can receive DSL. There will be a no
charge site survey to make sure your location is DSL-ready.

STANDARD INSTALLATION TERMS
Standard Installation includes installation of DSL equipment and connection to one computer. Installations that require extraordinary time or resources will be billed an additional charge. Customer will be informed of charges prior to installation. Customers requiring connection of two or more computers must arrange this service. Monthly service charge includes use of Ayrshire Communications' DSL equipment. Ownership is retained by Ayrshire Communications. Customer agrees to maintain service for one year.

COMPUTER SYSTEM
  MINIMUM REQUIREMENTS: WE RECOMMEND:
Memory
PC CPU
PC OS
Mac CPU
Mac OS
64 MB of RAM
Pentium or AMD K6-2
Windows 98
Power PC
System 8
128 MB or More
Pentium III or AMD K7
Windows 2000 or XP
G3
System 9 or Higher
CUSTOMER SERVICE AGREEMENT
  1. These Services are provided by Ayrshire Communications, 1405 Silver Lake Avenue, Ayrshire, IA 50515 and backbone service through Northwest Communications, 844 Wood Street, Havelock, IA 50546.

  2. All charges will be billed monthly. Ayrshire Communications reserves the right to increase Internet fees regardless of contract date or package option. Payment is due as specified on the monthly invoice. Failure to pay when due may result in suspension or discontinuance of service. A service fee will be required to re-establish suspended service.

  3. AYRSHIRE COMMUNICATIONS MAKES NO EXPRESS OR IMPLIED WARRANTY OF ANY KIND. THERE IS NO EXPRESS OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE FOR THE SERVICES TO BE PROVIDED BY NORTHWEST COMMUNICATIONS. The Ayrshire Communications network protocols call for end-to-end verification of the accurate receipt of any message. Ayrshire Communications makes no attempt to verify accurate receipt of any message and is not responsible for any loss of data resulting from delays, non-deliveries, incorrect deliveries or service interruptions, including those caused by the negligence, errors or omissions of Ayrshire Communications, nor for consequential damages regardless of their cause.

  4. Customer agrees to comply with the terms governing use of the Ayrshire Communications and Northwest Communications network found on their website at www.ncn.net.

  5. Ayrshire Communications reserves the right to limit the size of e-mail attachments to 3 MB.

  6. This agreement shall be governed by and construed in accordance with the laws of the state of Iowa applicable to contracts to be performed entirely within the state.

  7. Either party may terminate service at any time by giving written notice. Such notice is effective when given. Customer is obligated to pay for service through the termination date, as detailed on the final invoice. If Customer has signed up for a one-year contract, total remaining balance of the contract may be due at the termination date.

  8. IT IS EXPRESSLY AGREED AND UNDERSTOOD THAT AYRSHIRE FARMERS MUTUAL TELEPHONE COMPANY IS NOT RESPONSIBLE FOR THE INFORMATION WHICH MAY BE ACCESSED OR RECEIVED THROUGH THE INTERNET AND NORTHWEST COMMUNICATIONS DOES NOT WARRANTY THE ACCURACY OR APPROPRIATENESS OF ANY INFORMATION. CUSTOMER AGREES TO HOLD AYRSHIRE FARMERS MUTUAL TELEPHONE COMPANY HARMLESS FROM ANY AND ALL CLAIMS WHICH MIGHT ARISE FROM CUSTOMER'S USE OF THE INTERNET.

  9. Please Note: No matter how fast your connection to the Internet, speeds on the Internet itself can affect download performance. While Ayrshire DSL users are connected, actual downloads from the Internet will vary in speed. Factors that govern an Internet download speed include the performance of the server hosting the website requested, the bandwidth of the connection between the website's server and the Internet, Internet traffic patterns, router latency and backbone usage. FTP file transfers will be received at higher speeds than HTML web pages. Certain times of day tend to have higher Internet traffic than others. Components in user's PCs may also impose certain speed limitations.

I understand and acknowledge that continued use of Northwest Internet's services constitutes acceptance of their Terms of Use and Acceptable Use Policy. I agree it is my responsibility to read these policies and comply fully with their terms. I further understand the policies and pricing of Northwest's Services may change from time to time upon 30 days notice. The Service is provided on an "AS IS" and "AS AVAILABLE" BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO WARRANTIES OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
   If you do not agree, click this button to exit without submitting this application: 
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