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APPLICATION FORM

RESIDENTIAL SUBSCRIBERS: * PLAN________________ SPEED___________


*
SURNAME FIRST NAME MIDDLE NAME
* BIRTHDAY * AGE * SEX CIVIL STATUS
FEMALE
* LEGALLY SEPARATED
SINGLE
MALE MARRIED
TEL NO * EMAIL
* MOBILE NO.
* ADDRESS
BLK LOT STREET SUBDIVISION/BARANGAY MUNICIPALITY CITY/PROVINCE
HOME OWNERSHIP
OWNED RENTED LIVING W/ RELATIVES COMPANY PROVIDED MORTGAGED

BUSINESS SUBSCRIBERS: PLAN_______________ SPEED___________


COMPANY NAME

AUTHORIZED REPRESENTATIVE POSITION/DESIGNATION

NATURE OF BUSINESS YEARS OF BUSINESS SEC REGISTRATION NUMBER

TEL/FAX MOBILE NO. EMAIL

SERVICE ADDRESS

FORM OF BUSINESS
SINGLE PROPRIETORSHIP PARTNERSHIP CORPORATION COMPANY PROVIDED MORTGAGED

ACCOUNT DETAILS:
COMPANY NAME DATE PAID INITIAL PAYMENT TOTAL PAYMENT

VERIFIED BY BILLING TYPE

REMARKS

Subscriber’s declaration

This signature below signifies that all information herein are true and correct to the best of my knowledge. Further,
this signifies that I have read and understood the terms and conditions of Planet Cable Inc.
*
*
Signature over printed name Date
Subscriber/Authorized Representative

Contact us: 09228903506, (046) 419-8859 , (02) 657.1127, (043) 779.8009, (049) 559.8999 info@planetcabletv.com Facebook.com/planetcablePH
TERMS AND CONDITIONS

This agreement is entered into by between PLANET CABLE, INC. (hereinafter known as tion of overdue accounts, including collection agency fee, attorney’s fees and cost of suit. to hidden and/or factory defects within one (1) year after the same was issued to
the Service Provider) and the Digital/ Internet subscriber (hereinafter known as the As to the digital channels, the Service Provider may introduce additional the Subscriber, the Service Provider warrants to replace the same; however, in
SUBSCRIBER) whose name and signature appear on this Agreement for and in consid- channels available in the market and impose new fee/s. case the defect is imputable to the fault or negligence of the Subscriber, the
eration of the following terms and conditions. For purposes of inspection and evaluation, repair and maintenance, as the warranty shall not apply. After the one (1)-year period, the Service Provider will be
1. Definition of Terms. case may be, the Subscriber hereby grants the Service Provider, its officers, assigns, charging fees for repairs depending on the extent of the damages and/or repairs
The Contract shall refer to the Service Agreement herein set forth including the duly agents, and contractors, access within and outside the premises where the connection is to be made; provided, however, the Subscriber hereby assumes all the risk of loss
accomplished Application Form of the Subscriber and/or any attachments thereto installed or may be found and damage to the STB for any cause whatsoever and the Subscriber agrees to pay
Service shall mean cable television/internet or access/High Definition (HD) and Stand- 7. Subscriber’s Obligations. It shall be the Subscriber’s sole responsibility to set the acquisition cost of the said modem to the Service Provider. The Subscriber
ard Definition (SD) or digital channels services, including such value-added features as up or configure his equipment/computer preparatory to the use of the service. The Sub- cannot utilize such other device or gadget (i.e. STB) in connection with the use of
maybe introduced by the Service Provider from time to time. scriber shall comply with all notices and instructions given by the Service Provider from digital channels without the written consent of the Service Provider. It is under-
A plan refers to the service package or details of the cable internet/digital channels time to time with respect to the use of the Service. When necessary, the Subscriber shall stood, however, that prior to the actual connection of the service, the Subscriber’s
service offered by the Service Provider that a subscriber avails. be solely responsible for obtaining, at his own cost, all licenses, permits, consents, approv- television is fit to be connected.
Minimum Period of Subscription shall mean twenty four (24) months from the com- als and intellectual property or other rights as may be required for using the service. The 11. Termination/Suspension of Service. The Service Provider reserves the
mencement of cable internet service and twenty four (24) months for digital channels Subscriber shall, at all times, strictly abide by the rules and regulations, policies, and absolute right to suspend or terminate this Contract without need of a prior notice
service. issuances of the Service Provider. due to non-payment of any and all applicable fees and charges, without prejudice
Broadband Internet refers to Planet Broadband Internet service provided by the The Subscriber shall not share, with or without consideration, the services to any remedies that the Service Provider may avail. Consequent to the termina-
Service Provider. provided by the Service Provider under this Contract to any person in any manner or tion of the Contract, the Subscriber shall allow the Service Provider to remove any
Internet Content refers to any and all information, software, shareware and other scheme without the written consent of the Service Provider. and all equipment provided to the Subscriber in connection with their subscrip-
data utilizing various media that can be accessed and or obtained through the services 8. Subscriber’s Usage. The Subscriber may use the Service Provider’s internet tion. In the exercise of any of its rights under this Contract, the Service Provider
provided hereunder. services in any manner consistent with all the policies of the Service Provider and applica- shall not be liable for any damage or loss which the Subscriber may incur by rea-
Standard Definition (SD) Channels refers to the following digital channels, namely: (1) ble laws and regulations relative to the use of the internet; provided however, that the son of the suspension and/or termination of services provided herein. In the event
____________; (2) __________; (3) ____________; (4) __________; and (5) Service Provider does not guarantee or warrant that files available for downloading that the Subscriber intends to terminate this Contract within the minimum period
__________. through the service and via the internet will be free from infection or viruses or other of subscription, the Subscriber shall: (a) inform the Service Provider of such inten-
High Definition (HD) Channels refers to the following digital channels, namely: (1) code that manifest contaminating or destructive properties. The subscriber assumes full tion at least thirty days (30) before the effective date of termination; (b) immedi-
____________; (2) __________; (3) ____________; (4) __________; and (5) responsibility and risk for use of Broadband Internet. The Service Provider does not war- ately pay the amount provided under item no. 5 of this Contract, in addition to the
__________. rant that the Service will be uninterrupted or error free. The user waives all claims against termination fee; and (c) immediately return, in good condition, the equipment
2. Commencement of Service. The service/s shall commence on the date Service Provider, its officers, directors and employees that may arise from or in connec- (including the Cable Modem) he received from the Service Provider. It is however
the Service Provider actually activates the internet and digital channels service. tion with the access or use of the Broadband Internet. understood that the termination shall not exempt the Subscriber from paying his
3. Fees. The subscription fees for the service shall be at the applicable rate Transmission of any internet content which violates national or international outstanding obligations with the Service Provider.
as indicated in the Application Form duly accomplished by the Subscriber or such rates law is prohibited. This includes but not limited to copyrighted materials, those legally 12. Disclaimer. The Service Provider shall not be liable for any damage or
as may be prescribed by the Service Provider from time to time. An installation fee adjudged to be threat to national security, or intruding into the privacy of individuals, delay in business transaction or communication of the Subscriber whatsoever,
shall be collected, plus one month advance payment. The fees and charges referred to offensive on moral, religious, racial or political grounds; abusive indecent, obscene or which the Subscriber may suffer or may have suffered due to the use of the Ser-
herein, including those that may be collected by the Service Provider by virtue of this menacing nature of material or information, infringement of intellectual property rights of vice. This includes but not limited to any loss of profits, incidental or consequential
Contract, shall be subject to future adjustments when circumstances warrant accord- any persons as well as trade secrets. The subscriber hereby agrees not to use Broadband damages arising out of the Subscriber’s use of or inability to use; any loss of infor-
ing to it, which adjustment shall become effective and binding without need of any Internet for any illegal activity and/or purpose that is unlawful or prohibited and further mation caused whether as a result of any interruption, suspension, or termination
formal notice. agrees not to: introduce viruses, worms, harmful code, Trojan horses and/or other harm- of the Service or otherwise, or for the contents, accuracy or quality of information
ful detritus programs into any network; post material on the internet that may be legally available, received or transmitted through the Service; or failure of the Subscriber
4. Lock-in Period. The Subscriber shall maintain his service connection and actionable; spam, flame, hack and obtain unauthorized access to any network; defame, to comply with applicable laws, rules and regulations and all the terms prescribed
shall duly pay his cable internet/Digital channels bill provided by the Service Provider harass, stalk, threaten or otherwise violate the legal rights of others; collect information by the Philippine National Telecommunications Commission for the use of any
during the minimum period of subscription and shall not terminate this Contract about others without their consent. telecommunications systems, service or equipment.
within the same period; provided, should the Subscriber terminate this Contract 9. Cable Modem/Modem Router. During promo periods, the Service Provider The Service Provider likewise makes no warranty that all information,
within such minimum period of subscription, the Subscriber shall be liable to pay the may provide the Subscriber with one (1) Cable Modem/Modem Router. The Subscriber software or other material accessible through Broadband Internet, or that the
Service Provider the amount Five Thousand Pesos (PhP 5,000.00) or the total billings hereby assumes full responsibility for its proper use and handling, however ownership of same is free from viruses or other harmful components. The Service Provider shall
equivalent to the remaining unserved months, whichever is higher, without prejudice, the modem/ router shall be for the account of the Service Provider; provided, that if the not be liable for any delay or failure in the performance of service under this
however, to the other rights of Service Provider’s under this Contract or under any Modem is found to be defective due to hidden and/or factory defects within one (1) year Contract resulting from acts beyond its control, including without limitation, acts
provision of any law. after the same was issued to the Subscriber, the Service Provider warrants to replace the of God, acts or regulations of any governmental or national authority, war or
5. Payment. The Subscription Fee and all other charges shall be payable on same; however, in case the defect is imputable to the fault or negligence of the Subscrib- national emergency, accident, fire, electric power failure, temporary loss of signal
or before the dates stated in the billing statement(s) issued by the Service Provider to er, the warranty shall not apply. After the one (1)-year period, the Service Provider will be not attributable to Service Provider, lightning, riot, strikes, lock-outs, industrial
the Subscriber; provided that, said fee shall be payable in advance, on or before the charging fees for repairs depending on the extent of the damages and/or repairs to be disputes whether or not involving the Service Provider’s employees, or epidemics,
due dates of each month, without the necessity of any demand. Payment of fees shall made; provided, however, the Subscriber hereby assumes all the risk of loss and damage or other occurrence analogous to the foregoing.
be made at the office of the Service Provider either thru cash or check. Installation Fee to the cable modem for any cause whatsoever and the Subscriber agrees to pay the acqui- 13. Governing Law and Jurisdiction. The laws of the Republic of the Philippines
shall be non-refundable and non-transferable. Non-payment of monthly bill(s) is/are sition cost of the said modem to the Service Provider. The Subscriber cannot utilize such shall govern this Contract and the Subscriber and the Service Provider
subject to suspension or termination of the service but does not free or exempt the other device or gadget (i.e. modem) in connection with the use of Broadband Internet hereby submit to the exclusive jurisdiction of the courts of Las Piñas City. No
subscriber from settling his obligations with Service Provider. without the written consent of the Service Provider. It is understood, however, that prior complaint shall be filed in any court, agency or tribunal by the Subscriber
6. The Service Provider’s Rights. The Service Provider shall have the exclu- to the actual connection of the service, the Subscriber’s computer/equipment is fit to be unless the parties have exerted utmost efforts in settling the matter through
sive right to manage and control the access to computer systems and information connected with Broadband Internet. a compromise agreement.
within the internet System in a manner deemed appropriate by the Service Provider. 10. Set-Top Box (STB). The Service Provider shall provide the Subscriber with the
Any and all fees charged by the Service Provider shall be subject to such adjustments appropriate number of STBs depending on the number of television the latter intends to
CUSTOMER’S CONFORME
as circumstances may warrant, without need of any notice to the Subscriber. Service be installed. It is understood that the first STB will be provided by the Service Provider
*
Provider may terminate or suspend this Contract at any time if the Subscriber fails to free of charge, however ownership of the STB shall be for the account of the Service *
comply with any of his responsibilities under this Contract and collect disconnection Provider. Also, the succeeding STB’s shall be paid by the subscriber base on the prevailing ———————— ———————
and reconnection fees and any other fees or expenses which it may incur in the collec- rate imposed by the Service Provider. The Subscriber hereby assumes full responsibility Signature over printed name Date
Subscriber/Authorized Representative
for its proper use and handling; provided, that if the Modem is found to be defective due

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