EFTA Document EFTA01315999

P cingular SUMMARY OF MONTHLY CHARGES FOR ACCOUNT Questions or Changes? • cingular.com • Toll Free 1866 293-4634 • ell from your weeless phone • TTY users - 1866 429-7TTY Date of Invoice: March 12, 2005 Previous Balance Payments Received Late Payment Charge Account Adjustments Balance Forward Current Monthly Charges 0.30 0.00 0.00 0.00 on March 11. 2005 0.30 0.00 Your billing cycle began on February 12. 2005 and ended Total Amount Due Current Monthly Charges 0.30 Subscriber Adjustments 0.00 Monthly Service 0.00 Monthly Usage 0.00 Charges 0.00 Credits 0.00 Government Fees and Taxes 0.00 Total Current Monthly Charges 0.00 TOTAL AMOUNT - Due Upon Receipt 0.30 cingular Account Name: #BWNHNGB .9.01.01.1011.0X0 Please Return This Portion With Your Payment. Use of service or payment of this mote indcates agreement with the General Terms and Condibons for wireless service. Note: => We Pmt on Front and Back Service a Account) Yes. I want to enroll in REEF and have my monthly paymems K Check here for change automatically deducted from the accotam on my enclosed check of address (see reverse) (see reverse sgnature required). Date Due Total Amount Amount Due Paid UPON RECEIPT 0.30 I, I I, AI . it,' . I . I I I I ',it I . I I II I I I till. kit CIRCULAR WIRELESS PO BOX 8229 AURORA IL 60572.8229 CONFIDENTIAL SDNY_GM_00343882 EFTA 00216577 EFTA01315999 Recurring Electronic Fund Transfer (REFT): To enroll: sign below, check the REFT box on the reverse side and remit with this month's payment. Keep paying your bill until your statement indicates "Do Not Par. REFT Agreement: I authorize my financial institution to deduct the amount of my monthly wireless phone bill from the account associated with the enclosed check and remit payment to Cingular Wireless. This authority will be effective until I notify Cingular Wireless to terminate it. I agree that I may be assessed a service charge (up to $20) or late fee or both if a payment is returned by my bank. For more information visit cingular cnm/myaccount or call 1 866 293-4634. Please keep a copy of the form below and this REFT Agreement for your records or retain a copy of the blank form from next month's invoice. Questions? We can help: Cingular Wireless appreciates your business and welcomes the opportunity to assist you. Visit our website at gjngular.com or contact Customer Care by dialing 611 from your wireless phone or 1 866 293-4634. tSabias que tambien ofrecemos servicio al cliente en tu idioma? Marca 611 desde tu telefono inalambrico 6 1 866 293 4634 desde cualquier telefono y oprime el '. Driving Wireless Safety: Your wireless phone gives you the freedom and flexibility to stay in touch when you travel, but don't let a phone call distract you from driving safely. Use hands-free device if allowed or required by law. Call Carefully. Arrive Safely. Cingular Wireless Processing Fees: Accounts suspended for non-payment will be subject to a $25 reactivation fee per line and may be assessed a security deposit prior to reinstatement. Checks returned for non-sufficient funds will be charged up to a $30.00 fee. Local Tax: Local taxes are based on local govemment boundaries, the address information you provide for your account and/or your wireless telephone number. Please review the local tax charges on your bill. If you believe there is an error in the local tax charge. please contact us immediately at 1 866 293-4634. Please note that some local or state laws may require you to follow special procedures when notifying us about a local tax dispute. You may also use the form below to notify us of any change to your taxing address. Thank you for your cooperation. Early Termination Fee (ETF): If you cancel service before your contract end date (including if you switch your wireless number to another carrier), you will be charged an Early Termination Fee of up to $200. Please Send Correspondence To: Cingular Wireless Next Generation Correspondence P.O. Box 68056 Anaheim Hills. CA 92817-8056 00CCOIGS50.2 Change of Address Only. Please print address clearly and check the box on the reverse side. Please contact Customer Care to change the Account Name and transfer Financial Responsibilrly. New Billing Address City State Zip Home Phone ( Work Phone ( II your billing address is NOT your Tax Address. please enter the Tax Address below. (Multi-line accounts should attach a 1st of each wireless number and the respective Tax Address.) New Tax Address Wireless Number ( City State Zip Recurring Electronic Fund Transfer (REFT) Enrollment. Reese read the agreement on the top portion of this page. sign below and check the 'REFT Registration' box on the reverse side. Financial Account Holder Signature Date Email Address' [7I ' I do not wish to receive emal notification of special offers available to Cingutar Wireless customers. CONFIDENTIAL SDNY_GM_00343883 EFTA_00216578 EFTA01316000 cingtrilarthithar ber ACCOUNT DETAILS Current Subscriber Monthly Charges and Cred!s a mber Subscriber Name Total Current Subscriber Monthly Charges and Credits Total Current Monthly Charges Charge two 0.00 0.00 SUMMARY OF CURRENT ACTIVITY FOR Monthly Service Charges item Description Service Dates 1 CALL WAITING 02/12)06 - 03/11106 2 CALLER ID 02/12/0S - 03/11/05 3 GO PHONE $53.98 REPLENISHMENT 02/12105 - 03111/05 4 THREE WAY CAWNG 02/12105 - 03111/05 S GO PHONE UNLIMITED NIGHTS AND WEEKENDS 02/12105 - 03111/05 6 DETAIL BILLING 02/12/05 - 03111/05 Total Monthly Service Charges TOTAL CHARGES FOR Charge 0.00 0.00 0.00 0.00 0.00 000 0.00 0.00 Account Name Date of Involce— I March 12, 2005 Page 3 of 4 THIS SPACE INTENTIONALLY LEFT BLANK CONFIDENTIAL SONY_GM_00343884 EFTA_00216579 EFTA01316001 P:::cingular ber THIS SPACE INTENTIONALLY LEFT BLANK THIS SPACE INTENTIONALLY LEFT BLANK "I CONFIDENTIAL Date of Invoice March 12. 2005 Page 4 of 4 SDNY_GM_00343885 EFTA 00216580 EFTA01316002