RTS: Service Agreement

Name:

SID #:

E-mail Address:

Residence Hall:

Room #:

Telephone:

Off-Campus Address:

City:

State:

Zip:

Country:

Off-Campus Telephone:

I have read and understand the UC Berkeley Residence Telephone Services Terms and Conditions of Service. I understand and agree that I am responsible for all charges to my extension, including payment for any and all calls or services charged to my extension. I also understand that it is my responsibility to audit my monthly statements for accuracy, and to report any discontinuation of any and all telephone and/or related services.

I fully understand the consequences of not adhering to these outlined and published Terms and Conditions of Services, and accept full responsibility for my actions, these services assigned to my account, and the payment of these services.

Residents must notify Residence Telephone Services in writing of a change in residence hal address or move off campus. Failure to do so will result in your being liable for telephone services charged to your account.

By submitting this form you agree to abide by all the rules and regulations as stated above.

Date:

You will receive a confirmation of this completed form via e-mail

		Communication and Network Services 2484 Shattuck Avenue Berkeley, CA 94720-1640
	Service Agreement	Phone: 510-643-7000 FAX: 510-643-7046 Email: rts@berkeley.edu