| Commercial Account Form and Letter of Agency - POTS
Sales Representative © SAMANTHA KIELWEIN Corporate Address 229 Main St Nashua, NH 03061
Date 07/21/2022
Customer Name City of Nashua Billing Address 229 Main St Nashua, NH 03061
Contact Name Nick Miseirvitch
Phone Number 6035893305
Customer chooses Granite for:
[_]rots Local US [ rors Local US + LD [ x JEPi« [_]Jerots [ ]Rcr [| ]Tou Free
By signing below, the Customer agrees as follows:
0 For each of the telephone numbers listed. and for each of the service types dasignated, the undersigned, on behalf of Customer, warrants thal he / she is aulhorized to change
communications providers for Customer, and thal by signing below, Customer selects Granite Telacommunications, LLC (Granite) as its communications provider.
v EPIK includes dual SIM cards and diverse cellular connections. Certain jurisdictions may require wireline connactions for certain applications (Fire # Line Safety) and wireline
connections may be necessary to fumish service at certain locations.
. Customer appoints Granite to affect the changes described here and to authorize Granile to handle all arrangements necessary 10 order, change and/or maintain Customer's
communications services
0 Granite's Terms and Conditions of Service shall gover. See General Terms. hito.www.granitene!.com/Lega
0 This agency will remain in effect until terminated by the Customer
Authorized Signature Printed Name
Date Title
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