Application for Service – My Randolph Fiber

Application For Service ILEC

First Name *

Last Name *

Contact Number *

Email *

Service Address *

City *

State *

Zip *

Do you want your phone number published/Non-published? *

Published

Non-Published ($1.50/mo)

Listed in directory as.. *

Authority to perform credit check? *

Yes

Phone/Internet Service

Are you interested in a phone line? *

Yes, and I would like to review my phone options

No Thank You, I'm only interested in internet

Choose Your PHONE/INTERNET Bundle: (Includes Unlimited Calling)
Taxes and fees not included.

Internet Only

300/300 MBPS - $77.95

600/600 MBPS - $97.95

1 GIG/1 GIG MBPS - $137.95

Inside Wire Maintenance $2.95/mo (required). Taxes and fees not included.

Bundle Internet

Inside Wire Maintenance $2.95/mo (required) Taxes and fees not included.

Equipment (Required) *

MyHome WI-FI Modem $4.99

Account Information

Create your own username for your email address (Optional)

(insert username)@rtmc.net

Create your password for your email address (Optional)

Create Account Pin *

Create your own account pin of 4-digits

Protect Your Account with these SECURITY QUESTIONS (Answer at least 2 questions)

Model/make first car

1st elementary school you attended

Name of best friend in high school

Favorite animal

School's mascot

Favorite holiday

Model/make first car Answer *

1st elementary school you attended *

Name of best friend in high school *

Favorite animal *

School's mascot *

Favorite Holiday *

Additional Information

How Did You Hear About Randolph Fiber? *

Randolph Communications Employee Name *

Agreement Relating to Identification of Utility Equipment and Other Equipment and Devices

I am the owner or the person in charge of the real estate located at the address listed above, and I hereby agree that, prior to Randolph Communications commencing to perform work or services on my real estate, I (we) will meet with a representative of Randolph Communications for the purpose of locating and identifying any utility equipment, structures, or devices or any other equipment, structures, or devices in order to avoid Randolph Communications’ accidental damage to or destruction of any equipment, structures, or devices. I (we) further agree that in the event damage or destruction to any equipment, structures, or devices occurs to any equipment, structures, or devices which I (we) have failed to locate and/or identify and which were not otherwise clearly apparent, that I (we) will hold Randolph Communications, its employees, and agents harmless and free from liability for any damage and/or destruction it may cause in that event.

I agree to (Check one of the following):

Schedule a meeting with a Randolph Communications representative so that I (we) can identify and locate any equipment, structures, or devices which Randolph Communications employees or agents should be made aware of before they commence performing work or services on my (our) premises.

Waive the meeting with Randolph Communications’ representatives and my (our) opportunity to identify and locate any equipment, structures, or devices described above, and thereby hold Randolph Communications, its employees, and agents harmless and free of any liability resulting from damage or destruction to any equipment, structures, or devices which would not be apparent to a reasonable person.

Name of Property Owner or Authorized Representative

Contact Number of Property Owner *

Phone Number of Property Owner

Email of Property Owner *

Name of Customer Applying for Service

I have read and understand the Utility Agreement above. *

Clear

I acknowledge I have read and accept the Terms & Conditions Must click Accept to authorize

Terms and Conditions

The Applicant will grant to Randolph Communications (RC) and its wholly-owned subsidiary Randolph Telephone Telecommunications Inc. (RTTI) a right-of-way easement to construct, operate and maintain a telephone line or system on the land described above and in or upon all streets, roads or driveways abutting said land. In this application, the undersigned agrees to the rules and regulations of RC as set forth, and to any general changes in rules or rate for the service furnished under this application. This application becomes a contract when accepted by Randolph Communications. The Corporation’s By-laws are available upon request. 

RC Statement of Rates, Terms, and Conditions
A complete statement on which Randolph Communications (RC), including one or more of its subsidiaries (“Randolph Telephone Telecommunications Inc. (RTTI)”) delivers services set forth in RC’s Statement of Rates, Terms and Conditions for Provision of Service, which is available for public Inspection at RC’s offices and via the RC link at www.rtmc.net.  Acceptance of service from RC shall be deemed an agreement by Customer that the customer shall accept service from RC on the terms set forth in RC, as such are currently and hereafter revised, and which are available for public inspection. The purpose of this Notice is to inform Customers of certain provisions of RC, which shall in no way limit, waive, or restrict the applicability of all terms and conditions contained in the RC. 

1.	Customer is responsible for the payment of all charges for any and all services or facilities provided by RC to the customer and for compliance with all applicable terms of RC. If objection in writing is not received by RC within 30 days after the bill is rendered, Customer’s account shall be deemed correct and binding upon the Customer.
2.	RC retains the right to deny service to any customer who fails to comply with the rules and regulations of RC, or other applicable rules, regulations or laws.
3.	Customer shall indemnify and hold RC harmless from and against: (1) all claims, liability, damage and expense, including attorneys’ fees, due to claims for libel, slander, or infringement of copyright or trademark in connection with any material transmitted by the Customer using RC’s Services; (2) any other claim resulting from any act or omission of the Customer relating to use of RC’s facilities; and (3) the payment of all charges for service ordered by the Customer from a Local Exchange Carrier or other entities for telecommunications services and/or facilities connecting the Customer to RC.]
4.	Customer shall reimburse RC for damages to the RC’s facilities caused by negligence or willful act of Customer.
5.	Customer understands that the services are furnished subject to the conditions that there will be no abuse fraudulent and/or illegal use thereof.
6.	In addition to all recurring, non-recurring, minimum, usage, surcharge or special charges, Customer shall also be responsible for and shall pay all applicable federal, state and local taxes or surcharges, including sales, use, excise, gross earnings, and gross income taxes. All such taxes shall be separately shown and charged on bills rendered by RC or its billing agent. Such taxes and/or surcharges may be included as allowed by an applicable federal or state law or regulation.
7.	A credit check will be mandatory and a security deposit may be required.
8.	Payment will be due as specified on RC’s bill to Customer. Commencing after that due date, a late charge will be applied to all amounts past due. Service may be denied or discontinued at RC’s discretion for nonpayment of amounts due to RC past the due date. Restoration of Service will be subject to all applicable charges.
9.	In the case where Customer submits a check to RC for payment, the check is returned for insufficient funds, or is otherwise not processed for payment, there will be a charge as set forth by RC. Such charge will be applicable on each occasion when a check is returned or not processed. Fiber Connections and Power Supply’s In the event of power failure, a battery backup provides temporary power. Fiber connections do not prohibit loss of power. To maintain full backup charge, keep your backup equipment plugged in at all times. You may also be able to make 911 calls from your mobile device. It is recommended to limit the use of your backup power to voice emergency calling only. Typically, battery back-ups provide up to 8 hours of additional use but the more you utilize your devices or phone the quicker your back up unit will end. Additional power supplies may be purchased.

ILEC (Member)* - The Cooperative Member will grant Randolph Communications (RC), including one or more of its subsidiaries (“Randolph Telephone Telecommunications Inc. (RTTI)”), a right-of-way easement to construct and maintain a telephone line or system on the land described above and in or upon all streets, roads or driveways abutting said land. In this application, the undersigned agrees to the rules and regulations of the Cooperative as set forth in the exchange tariff, and to any general changes in rules or rate for the service furnished under this application. This application becomes a contract when accepted by the Cooperative. The Corporation’s By-laws are available upon request. I authorize Randolph Communications to conduct a credit check to determine my credit worthiness and ability to pay for services ordered. Failure to establish credit worthiness will result in the applicant being required to pay a $100 security deposit for phone and a $99 non-refundable credit fee towards the internet. If applicant does not want to disclose their social security number they can furnish three credit references. There is a one-time $90.00 set-up fee, which will be applied to your first bill. This covers equipment and installation to one computer. Connections to additional computers, wired or wireless, will incur additional fees. Home Wi-Fi will be an additional $4.99/mo, or $8.99/mo, based on structure of home. If more adapters are needed then additional fees will incur. For internet speeds at 100 Mbps or higher I understand that a new router is required. RC equipment will be set for the higher plan subscribed too, but I understand that an older router, or customer owned equipment will not allow customer to receive full speed. Any additional work requested or required beyond the outside protector will result in additional charges (i.e. installation of a new telephone jack). Please note that RC bills one month in advance for all services except toll and one-time purchases, such as computer services. Your first bill will include that one month in advance and any days between when the service was installed and when billing is run. The applicant also understands that a $10 membership fee is due at the time the order is placed. 

* Member (ILEC) – A member of Randolph Communications is a customer who resides within the Cooperative’s membership exchange boundaries. These member exchanges are as follows:  Jackson Creek (241), Pisgah (381), Badin Lake (461), Farmer (857), High Falls (464), Bennett (581), Coleridge (879), Liberty (622).
 
CLEC (Non-Member)** - By signing this 12-month agreement, the applicant will grant to Randolph Communications (RC), including one or more of its subsidiaries (“Randolph Telephone Telecommunications Inc. (RTTI)”) a right-of-way easement to construct, operate and maintain a telecommunications service on the land described above and in or upon all streets, roads or driveways abutting said land. This application becomes a contract when accepted by RC. Upon acceptance of this agreement by RC, the customer is bound to this 12-month term and subject to a $99 Early Termination Fee (ETF) if there was existing fiber at location. If a fiber drop was plowed to provide service, the customer is subject to ETF for the following services: Phone Only: ETF is $45 times the remaining months left in term; Bundle: If customer removes the phone and keeps internet only, then there is no penalty. If customer starts with a bundle and removes the internet to go phone only, customer is then subject to $77.95 times the remaining month in term; Internet Only: ETF of $99, plus $77.95 times the number of months remaining in the term. If customer cancels after RC has accepted the agreement, but prior to service installation, the ETF still applies for the full 12 months. If my credit rating is found to be unsatisfactory, the applicant is required to pay a $100 security deposit for phone and a $99 non-refundable fee towards the internet. If applicant does not want to disclose their social security number they can furnish three credit references. There is a one-time $90.00 set-up fee, which will be applied to your first telephone bill. This covers equipment and installation to one computer. Connections to additional computers, wired or wireless, will incur additional fees. Home Wi-Fi will be an additional $4.99/mo, or $8.99/mo, based on structure of home. If more adapters are needed then additional fees will incur. For internet speeds at 100 Mbps or higher I understand that a new router is required. RC equipment will be set for the higher plan subscribed too, but I understand that an older router, or customer owned equipment will not allow customer to receive full speed. Any additional work requested or required beyond the outside protector will result in additional charges (i.e. installation of a new telephone jack). Please note that RC bills one month in advance for all services except toll and one-time purchases, such as computer services. Your first bill will include that one month in advance and any days between when the service was installed and when billing is run. Standard installation charges will apply, unless other installation promotions are in place at the time of installation. Inside Wire Maintenance is required and added to internet only plans.

**Non-Member (CLEC) – Any customer that Randolph Communications serves that does not reside within the Cooperative’s member boundaries.
 
All Customers: If at any point RC determines there is a health or service hazard that would prohibit service or equipment installation or repair, and/or, is a result of repeat equipment failure that may/may not be as a result of negligence of the customer, RC has the discretion to remove leased equipment, discontinue service, or discontinue upgrading equipment and services at customer home or business, pending Supervisor approval. Should a customer have inside wire maintenance in a bundle, then the inside wire maintenance would become void within the bundle. I acknowledge I have read and I am in agreement with the RC policies that can be found at www.rtmc.net. 

Internet customers understand and agree that they have requested RC to analyze and configure their computer system for Internet services. It is the customer responsibility to make sure that their computer system has been completely backed-up prior to any installation of hardware and/or software necessary to access high-speed data services. The actual connection speeds experienced by the customer will vary. RC shall not be responsible or liable for (1) Any file loss or corruption; (2) Hardware/software failure or corruption; (3) Any hardware or software configurations which may make the system unusable; and/or (4) Electrical surges that may cause damage to connected devices. RC is not responsible for any problems with my computer following the installation or repair of data services. If there is a router failure within the commitment window, RC will replace the router with a comparable unit. If the router becomes inoperable after the commitment window, then the Customer agree to replace the router at their expense. RC is not responsible for problems with the Customer computer following the installation of high-speed data service pursuant to this agreement. Customer hereby waives any claims they may have to bring any action against RC for any of the aforementioned failures, losses or defects. No other agreement, verbal or otherwise, shall be binding upon the parties hereto. 

Unlimited Long Distance Terms & Conditions - Customers may subscribe to local service provided by Randolph Communications and Randolph Telephone Telecommunications Inc. (RTTI) long distance. Calls not included in the Unlimited packages will be billed at tariff rates. The unlimited plan is for residential voice calls terminating within the continental U.S. (excludes Hawaii & Alaska) only. This plan may not be used to place calls to on-line data services, or Internet access services. The plan may not be used for commercial use or for any services that do not involve a person-to-person conversation or voice message. Calling card services, calls to international exchanges, calls to 900 numbers, Directory Assistance, operator services, data calls, calls to Hawaii & Alaska and any other use of the line not included. 

RC reserves the right to discontinue or change service to customers on the Unlimited Long Distance Plan if the Company determines that the long distance calling patterns are atypical of normal residential usage. If the Company determines that usage is not consistent with typical residential customer usage, the customer may be subject to discontinuation of this service and additional fee or offered an alternative plan at the Company’s sole discretion. Additional regulatory charges apply with package. This package may not be used to qualify for any other tariff packages; all other tariff discounts do not apply. Billing month-to-month and rates are subject to change. RC reserves the right to discontinue the plan at its sole discretion with due notice to the customer. All elements of bundle must be retained to qualify for package pricing. 

Bandwidth, Data Storage and Other Limitations - RC offers multiple packages of Service with varying speeds and features and bandwidth usage limitations (not all packages are available in all areas). You must comply with the current bandwidth, data storage, electronic mail and other Limitations of Service that correspond with the package of Service you selected. In addition to complying with the limitations for specific features, you must ensure that your activities do not improperly restrict, inhibit, or degrade any other user's use of the Service, nor represent (in RC’s sole judgment) an unusually great burden on the network itself. In addition, you must ensure that your use does not improperly restrict, inhibit, disrupt, degrade or impede RC's ability to deliver the Service and monitor the Service, backbone, network nodes, and/or other network services. If you use excessive bandwidth (as determined by RC), RC may terminate, suspend, or require you to upgrade the Service and/or pay additional fees. RC reserves the right to manage its network for the greatest benefit of the greatest number of subscribers including, without limitation, the following: rate limiting, rejection or removal of "spam" or otherwise unsolicited bulk email, anti-virus mechanisms, traffic prioritization, and protocol filtering. You expressly accept that such action on the part of RC may affect the performance of the Service. 

RC reserves the right to enforce limits on specific features of the Service including, without limitation, email storage (including deletion of dormant or unchecked email) and web hosting maximums. Visit Limitation of Services to learn the limits on specific features of the Service. 

Limitation of Liability - It is understood that RC is not an insurer, and that customer is responsible for obtaining any insurance coverage. Customer agrees to look exclusively to customer’s insurer to recover for injury or damage in the event of any loss or injury, and releases and waives all right of recovery against RC arising by way of subrogation. The amount payable to RC hereunder is based upon the value of the services and the scope of liability as herein set forth and is unrelated to the value of the customer’s property or property of others located in the customer’s premises. The customer’s exclusive remedy with respect to any and all losses or damages resulting from any cause whatsoever, including RC’s negligence, shall be a refund of any service charges and fees paid to RC by the customer up to the time the damage is discovered. RC shall in no event be liable for any consequential or incidental damages of any nature, including without limitation, damages for personal injury, damages to property, or loss of business. Unless a longer period is required by applicable law, any action against RC in connection with this system must be commenced within one year after the cause of the action has accrued. The provisions of this paragraph shall apply if loss, damage or injury irrespective of cause or origin, results directly or indirectly to person or property from performance or nonperformance of obligations imposed by this contract or from negligence, active or otherwise, strict liability, violation of any applicable consumer protection law or any other alleged fault on the part of RC, its agents or employees. It is further agreed that the limitation on liability, expressed herein, shall inure to the benefit of and apply to all parent, subsidiary and affiliated RC companies. In the event any person not a party to this agreement shall make any claim or file any lawsuit against RC in any way relating to the equipment or services that are subjects of this agreement, including for failure of its equipment or services that are the subjects of this agreement, including for failure of its equipment or service in any respect, customer agrees to indemnify and hold harmless RC from any and all such claims and lawsuits including the payment of all damages, expenses, costs and attorney’s fees. 

Limited Warranty - If any equipment supplied by RC pursuant to this Service Agreement is found to be defective in material or workmanship within twelve (12) months of the date of completion or installation, then any such equipment will be repaired or replaced at RC’s option with new or functionally operative equipment. Labor and material required to repair or replace such defective equipment will be free of charge for a period of twelve (12) months following the completion of the original installation. This limited warranty does not apply to: a) damage resulting from accidents, acts of God, alteration, misuse, tampering or abuse; b) failure of the customer to properly follow operation instructions provided at the time of installation or at a later date; and c) trouble due to interruption of commercial power or to the phone service. The foregoing limited warranty is in lieu of all other warranties, express or implied, including but not limited to, any implied warranties of merchantability or fitness for a particular purpose. No agent, employee or representative of RC, nor any other person, is authorized to modify this warranty in any respect. This warranty gives you specific legal rights and you may also have other rights, which vary from state to state. 

Acknowledgment & Consent - Customer hereby acknowledges that RC has the capability to identify the URLs of the sites on the web that the customer accesses through his/her RC High Speed Data Service. Customer hereby consents to RC’s access to and use of that information to improve its High Speed Data Service offerings. If the customer does not consent to such access to and use of this information, customer can request to be designated as anonymous. RC will continue to track such usage information on an aggregated basis, and will not associate such usage with customer’s name or account number. 

General - RC assumes no liability for delays in installation of equipment and line, or for interruption of service due to strikes, riots, floods, fires, acts of God or any causes beyond the control of RC. RC is not required to supply service to customers during an interruption of service should the problem persist. Customer grants permission to RC to enter his/her premises if necessary to perform service to equipment as agreed herein. This agreement constitutes the entire agreement between the customer and RC. In executing this agreement customer is not relying on any advice or advertisement of RC. Customer agrees that any representation, promise, condition, inducement or warranty, express or implied, not included in writing in the agreement shall not be binding upon any party, and that the terms and conditions hereof applied as printed without alteration or qualification, except as specifically modified in writing. The terms and conditions of this agreement shall govern notwithstanding any inconsistent or additional terms and conditions or any purchase order, service or other document submitted by the customer. Customer understands that if additional equipment/services (such as jacks, router, etc.) are requested, that is different than the original order, then additional fees will apply. Customer understands that should the power fail while being serviced on fiber optics then phone service will be lost once battery back-up loses power. 

Inside Wire/Internet Maintenance - Phone plan includes all wiring inside the home that was installed to code, and also covers the maintenance and/or replacement of the battery back-up for fiber-optic subscribers Internet: All wiring to router, DSL filters. If no plan is chosen then then customer is acknowledging responsibility for payment of all charges for service calls to the customer’s premise if it is determined that the trouble is caused by the inside wiring, jacks or customer-owned equipment and not the Company’s equipment. Customers who do not select maintenance plan will be charged $110 per hour for labor and material costs on service calls for interior wiring and equipment issues. At any time RC staff deems equipment is not safe and could cause harm to employee(s) then RC reserves the right to revoke inside wire maintenance. RC reserves the right to revoke inside wire maintenance should a customer abuse the replacement of wiring due to uncleanliness and biohazards that result in multiple equipment replacements. 

Term & Termination - This agreement will have either no term (ILEC) or 12-month term (CLEC). At the end of Agreement’s initial Term, Agreement will automatically renew for successive one mon. period (“Renewal Terms”) unless either party provides the other party of its intent not to renew. If I choose to discontinue bundling services, current rates apply for all components unless customer is discontinuing internet. Any 12-mon. commitment not fulfilled must pay the penalties. If you are unclear of your customer status, please contact RC at 336-879-5684 to verify.

Responsibility for Equipment Supplied - Equipment installed by the Company at Customer’s premises, which is not purchased by Customer, shall at all times remain the sole property of the Company. Customer assumes all risk of loss and/or damage to such equipment from any cause other than failure due to normal wear and/or electronic failure caused through no fault of the Customer. Upon termination of Service, Customer shall return provided equipment to the Companies/ business office located at 317 East Dixie Dr., Asheboro, N.C. 27203. At the Companies’ discretion, the Company may choose to remove equipment at the Service location and the Customer authorizes the Company to recover the equipment from Service premises during reasonable hours. In the event Customer should refuse to return the equipment, or the same is lost, altered, destroyed, damaged or stolen, Customer shall pay the Company the reasonable replacement cost of the equipment, plus any costs incurred by the Company arising from the loss of or damage to the equipment. 

Service Suspension or Termination - The Company may suspend or terminate Service (1) if Customer fails to pay all or a portion of delinquent charges within 5 days after written notice of termination or (2) if Customer fails, within 5 days after written notice, to comply with this Service Agreement or any applicable tariff. The Company may, without notice, immediately discontinue or cancel Service for non-payment of any sum due to the Company for more than 15 days or for violation of any regulation, rule, or law of any governmental authority. The Company reserves the right to disconnect Services at any time if fraudulent usage is suspected. 

Service Suspension for Maintenance -The Company may from time to time suspend Service for routine maintenance or rearrangement for a short period of time. Whenever possible the Company will give Customer advance notification. Any Company liability resulting from a Service suspension shall be determined in accordance with Limitation of Liability within this Agreement. 

Termination or Default - If Customer violates or breaches any term or condition contained in this Agreement, the Acceptable Use Policy or any policy adopted by the Company relating to the Services as in effect from time to time, if Customer’s use of the Services is causing damage to or degradation of the Company system, or in the event of the insolvency of Customer or appointment of a receiver or trustee for Customer, execution by Customer of an arrangement for the benefit of creditors or similar proceeding or initiation by any party of any other proceeding involving Customer as debtor under the Bankruptcy Code, as amended, the Company shall, in addition to exercising any other right it has hereunder or under state law, immediately and automatically accelerate all sums due to the Company and/or terminate all Services to Customer and discontinue the Company’s performance hereunder without liability to Customer. 

Reconnection Fee - If Customer’s Services are terminated due to breach or violation by Customer of any of the terms and conditions contained in this Agreement or any policy adopted by the Company relating to the Services, in the event the Company subsequently agrees to reconnect Services, the Customer agrees to pay reconnection fees.  

We look forward to being able to serve your communications needs more efficiently with new and existing products and services based on the information we know about your account.

I agree to the Terms and Conditions. *

Clear

If you are human, leave this field blank.