SALES PRE-INSTALLATION CHECKLIST

Subscriber Name ________________________________________________________________________________ Date __________________

Subscriber Address _____________________________________________________________________________________________________

Source of Income ___________________________________ Agent Name / Code _________________________________________________

▢ Current promo / plan chosen ____________________ ▢ All equipment installed remain Converge’s property

▢ Installation fee ____________________ ▢ Excess materials during installation to be charged

▢ One month advanced payment ____________________ ▢ Minimum internet speed of 30%

▢ Total amount due on rst billing ____________________ ▢ 80% internet service reliability

▢ Billing cycle / cut-o ____________________ ▢ 2.4G and 5G

▢ Assigned business center ____________________ ▢ 2 years ( 24 months ) lock-in period

▢ Customer service number ____________________ ▢ Billing payment options

I hereby certify that all the checked information above have been clearly discussed to me by the authorized sales agent.

Pinatutunayan ko na ang lahat ng naka-check na impormasyon sa itaas ay malinaw na tinalakay sa akin ng authorized sales agent.

___________________________________________________________

Subscriber’s Signature over Printed Name

SALES PRE-INSTALLATION CHECKLIST

Subscriber Name ________________________________________________________________________________ Date __________________

Subscriber Address _____________________________________________________________________________________________________

Source of Income ___________________________________ Agent Name / Code _________________________________________________

▢ Current promo / plan chosen ____________________ ▢ All equipment installed remain Converge’s property

▢ Installation fee ____________________ ▢ Excess materials during installation to be charged

▢ One month advanced payment ____________________ ▢ Minimum internet speed of 30%

▢ Total amount due on rst billing ____________________ ▢ 80% internet service reliability

▢ Billing cycle / cut-o ____________________ ▢ 2.4G and 5G

▢ Assigned business center ____________________ ▢ 2 years ( 24 months ) lock-in period

▢ Customer service number ____________________ ▢ Billing payment options

I hereby certify that all the checked information above have been clearly discussed to me by the authorized sales agent.

Pinatutunayan ko na ang lahat ng naka-check na impormasyon sa itaas ay malinaw na tinalakay sa akin ng authorized sales agent.

___________________________________________________________

Subscriber’s Signature over Printed Name

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