Georgia ResidentialBroadbandServices

TermsofAgreementforFiberOpticServices
Step1PROVIDECUSTOMERINFORMATION
Signature:

DateofSignature:

PrintedName:

DateofBirth:

BRMEMCAccount#

SS#(LastFourOnly):

ContactPhone:

AlternatePhone:

BillingAddress:
StreetName&Number

City

State

ZipCode

StreetName&Number

City

State

ZipCode

PhysicalAddress:
Step2SETUPACCOUNTINFORMATION(SUBJECTTOAVAILABILITY)
Username:

@brmemc.net Password:

Step3READAGREEMENTINFORMATION
Offer available to residential customers only. Business packages available by request. By signing above customer agrees to
continue services for a term of 2 years, then continue monthtomonth until the agreement is cancelled by either party. If
customer cancels its service or any portion thereof, or has its services or any portion thereof terminated as provided above,
prior to the expiration of the contract term, customer shall be obligated to pay BRMEMC the monthly reoccurring rate, of
canceled service(s), multiplied by the months remaining in contract. Such termination charge shall be paid to BRMEMC
within thirty (30) days after such cancellation by the Customer. Digital TV and voice services offered under this Agreement by
Americas Center Corporation (channel lineup subject to change). BRMEMC and/or Americas Center will maintain ownership
of fiber optic and video equipment, and upon termination of this Agreement, customer agrees to return said equipment in
good working condition, or pay an equipment replacement fee of $200.00 per set top box, $25.00 per remote, and $15.00
per power cord. Acceptance of Terms of Service and Acceptable Usage Policy (as is posted online at www.brmemc.com) is
required, and by virtue of signing this document customer agrees to be bound to said Terms and Policy. Broadband charges
begin on the date of BRMEMC work order completion (pricing subject to change). Installation is to an outside NID near the
electric meter base. Prior to inside installation, a quote with estimate will be provided to customer. Customer grants
BRMEMC the right to construct, operate, access and maintain fiberoptic lines and associated pedestals, or other apparatus
necessary for such installations. The undersigned does not convey any land, but merely grants an easement for such fiber
optic facilities. The benefits and considerations of such fiberoptic installations shall inure to any successors and/assignees of
BRMEMCortheconsumer.

ContinuetoStep4onthebackofthisform.
ResidentialContract

Step 4 - CHOOSE A PLAN

Monthly Charges

TA

Price
(1 service)
Services
DATA Packages (higher data rates available by request)
(up to 3M/3M)

Internet
Internet (up to 6M/6M)
Internet (up to 12M/12M)

34.95
39.95
42.95

Price
(2 services)*

Price
(3 services)

34.95
39.95
42.95

34.95
39.95
42.95

44.95

31.95
19.95

PHONE Packages
non-applicable
non-applicable

non-applicable

PH
O

Voice Unlimited (includes: local calling, features** and unlimited nationwide LD)
Voice Limited (includes local calling and features**)
Additional Phone Services

800 Number Service (10 / min. inbound)

non-applicable

5.00

5.00

non-applicable

non-applicable

69.95
84.95
94.95
146.95

54.95
69.95
79.95
131.95

non-applicable

5.00

5.00

non-applicable

non-applicable

60.00
15.00
15.00
15.00
15.00

52.00
15.00
15.00
15.00
15.00

non-applicable

7.00

7.00

non-applicable

12.00

12.00

non-applicable

35.00

35.00

75.00

75.00

75.00

25.00

25.00

25.00

1.50

1.50

1.50

65.00
20.00
4.95

65.00
20.00
4.95

65.00
20.00
4.95

TV Packages

Basic Tier (includes: local channels, 75+ channels)

Expanded Tier (includes: Basic Tier, 160+ channels)
Digital Tier (includes: Expanded Tier, HD Tier, 220+ channels)
Ultimate Tier (includes: Digital Tier, ALL Premiums, 250+ channels)

non-applicable
non-applicable

Additional TV Packages

Spanish Pkg. (requires: Basic Tier)

TV

Premium Packages
(requires: Basic Tier)

ALL Premiums Pkg.

HBO Premium (requires: Basic Tier)
Cinemax Premium (requires: Basic Tier)
Showtime / TMC Premium (requires: Basic Tier)
Starz / Encore Premium (requires: Basic Tier)

non-applicable
non-applicable
non-applicable

Set Top Box (required per TV)

Standard Set Top Box

(Standard Definition (SD) & High Definition (HD) capable), 1st Set Top Box is Free with any
TV service. Additional Set Top Box(s) require rental fee. (1) Set Top Box per Television)

DVR Set Top Box

(Standard Definition (SD) & High Definition (HD) capable) (1) Set Top Box per Television)

One Time Charges

Phone Service Activation Fee

Optional Services

Basic Service Install

is
c

(includes: (1) Cat5 Ethernet Cable to PC or Router, or (1) phone line connection to existing
in-home wiring, or (1) TV set top box hook-up. Installation is to an outside NID near the
electric meter base and includes up to 50ft. into premises in proximity to the NID, (1) wall /
floor penetration)

Extended Service Install

(includes: technician to install (1) additional wire drop of either - Cat5 Ethernet Cable,
phone line cable, TV set top box hook-up; must be completed during the same visit as
Basic Service Install to apply)

Inside Wire Maintenance

(monthly fee- covers cost associated with correcting any problems in previously installed
wiring)

Static IP Address
Additional 5 IP Addresses
Filtered Internet Service
* One service choice must be a Data Plan

**Residential features include:

Authentication; Basic call logs; Call Forward Always On; Call Forward Busy; Call Forward No Answer; Call Return, Call Waiting, Customer Originated Trace, Caller ID - Name and Number
Delivery; Last Number Return (*69); 3-Way Calling; Speed Calling 8; and Voicemail. (12 in all)

CONGRATULATIONS! You have now completed the application process for your new fiber optic service.
Please call 706-379-3121 with questions concerning this account.
Residential Contract

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57
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WSBAtlanta
MyATLAtlanta
Local TV4
WAGAAtlanta
WGCL/Fox Atlanta
WPCHAtlanta
GPS/PBSAtlanta
WPBA
WPXA/IONAtlanta
WUPA/CWAtlanta
WXIA/NBCAtlanta
WHSG/TBNAtlanta
WHSG/TBN
Atlanta
WATC/INDAtlanta
QVC
SoapNet
Lifetime
LifetimeMovieNetwork
WeatherChannel
HSN
ESPN
ESPN2
SpeedChannel
Versus
FoxSportsSouth
GolfChannel
NFLNetwork
DisneyChannel
DisneyXD
CartoonNetwork
DiscoveryKids(TheHUB)
WGCL
Nickelodeon
Noggin(NickJr.)
Inspiration
CSPAN
CSPAN2
CSPAN3
WUPA
CNN
CNNHeadlineNews
FoxNewsChannel

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MSNBC
CNBC
BBCAmerica
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TBSSuperstation
Chiller
HallmarkChannel
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FX
TVLand
TNT
TCM
WGNSuperstation
AMC
EWTN
TBN
DiscoveryChannel
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AnimalPlanet
TLC
NationalGeographic
A&EEntertainment
History
TravelChannel
tru TV
HGTV
FoodNetwork
Style
ComedyCentral
SpikeTV
E!Entertainment
Oxygen
mun2
Bravo
Syfy
yy
MTV
MTV2
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CMT
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ESPNU
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SportsSouthSDNorthCarolina
FoxSoccerChannel
TheN(TeenNick)
Nicktoons
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Qubo
Halogen
ABCNewsNow
FoxBusinessNetwork
BloombergTV
IONLife
CNNInternational
CNBCWorld
HallmarkMovieChannel
FoxMovieChannel
Sleuth
IFC
Crime&Investigation
MilitaryHistory
ScienceChannel,The
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g p y
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FitTV
InvestigationDiscovery
PlanetGreen
MilitaryChannel
CookingChannel
DIY
OutdoorChannel
RFD TV
RFDTV
G4
GSN
WE:Women'sEntertainment
ION
GreatAmericanCountry(GAC)

TV AdditionalServices
TV
Additional Services

171
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226
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229
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233
234
235
236
237
238

VH1ClassicRock
Fuse
AdultAlternative
ClassicRock
RockAlternative
Country Classics
AltCountryAmericana
Hot Country
No Fences
Bluegrass
Folk Roots
Jazz Masters
The Blues
Pop Classics
Easy Listening
Swinging Standards
Hit List
Pop Adult
The Light
Gospel
Holiday Hits
Flashback 70's
Everything 80's
Jukebox Oldies
Urban Beats
Today's Latin Pop
Latino Tejano
Rock
Hard Rock
Alt Rock Classics
Jazz Now
Smooth Jazz
Big Band
Baroque
Chamber Music
Classic Masters
Opera Plus
Celtic
The Spa
Kid's Stuff
Dance Clubbin'

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247
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249

Dance Classics
Maximum Party
The Chill Lounge
Jammin'
Nothin' But 90's
Soul Storm
Retro R&B
Latino Tropical
Latino Urbana
Retro Latino
Regional Mexican

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59

FoxSportsEspanol

73

CNNenEspanoll

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138 DiscoveryenEspanol
139 HistoryenEspanol
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483
488
492
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507
509
510

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LifetimeMovieNetworkHD
CBSCollegeSportsHD
ESPNHD
ESPNNewsHD
ESPNUHD
ESPN2HD
SportsSouthHD
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NFLNetworkHD
DisneyHD
Disney XD HD
DisneyXDHD
CARTOONHD
FOXBusinessNetworkHD
CNNHD
FOXNEWSChannelHD
CNBCHD
MSNBCHD
ABC F il HD
ABCFamilyHD
TBSHD
HallmarkMovieChannelHD
USAHD
UniversalHD
TNTHD
TCMHD
HDNet Movies
WGNHD
HDNet
SmithsonianChannelHD
DiscoveryTheaterHD
DiscoveryHD

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610
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AnimalPlanetHD
TLCHD
ScienceChannelHD
NationalGeographicHD
A&EHD
HistoryChannelHD
BiographyHD
TravelChannelHD
TRUTVHD
InvestigationDiscoveryHD
PlanetGreenHD
HGTV HD
HGTVHD
FoodNetworkHD
BravoHD
Syfy HD
PALLADIAHD(MTVHD)
WSBHD
MyATL HD
WAGA HD
WAGAHD
WGCLHD
WPCHHD
GPS/PBSHD
WPXA/IONHD
WUPA/CWHD
WXIA/NBCHD
WHSG/TBNHD
WATC/INDHD
WLOSAshevilleABC13
WHNSAshevilleFox
WUNCAshevillePBS

SUBSCRIBER AGREEMENT
BRMEMC ENHANCED VOICE

SOME IMPORTANT INFORMATION ABOUT

BRMEMCs ENHANCED PHONE SERVICE POWERED BY FIDELITY
COMMUNICATIONS SERVICES III, INC. COMPLETE VOICE SERVICE
Thank you for choosing BRMEMC Enhanced Voice powered by Fidelity
Communications Services III, Inc. Complete Voice Service, a voice over Internet
protocol service. The rates, terms and conditions under which Fidelity Communications
Services III, Inc. and its affiliates (collectively, Fidelity) will provide its CompleteVoice
Service to you can be found at www.brmemc.net or by contacting Fidelity at 800-3928070.
In addition, The Federal Communications Commission requires that Fidelity notify you
about certain limitations on Fidelitys E911 service:
YOU MUST PROVIDE YOUR CORRECT ADDRESS . If you do not correctly identify
the address where your multimedia terminal adaptor (MTA) is located, or if you move
the MTA away from the original address, your emergency calls may be routed to the
wrong emergency authority, or emergency personnel may be misdirected to the wrong
address. YOU EXPRESSLY ACKNOWLEDGE THAT YOU HAVE THE
RESPONSIBILITY TO IMMEDIATELY NOTIFY FIDELITY, THROUGH ITS AGENT,
BRMEMC (Blue Ridge Mountain EMC) OF ANY CHANGE IN YOUR SERVICE
ADDRESS. You must not relocate the MTA to a different address. If you change
residences, you must contact BRMEMC at 706-379-3121 for information on whether the
CompleteVoice Service can be transferred to your new residence and what the
relocation will cost. If you wish to disconnect the CompleteVoice Service, you must
contact BRMEMC for information on the necessary procedures.
THERE MAY BE A DELAY UNTIL YOUR ADDRESS IS ENTERED IN THE E911
DATABASE. When you initially order service, or if you notify BRMEMC of a change in
your service address, there may be a delay before the address or change in address is
entered in the E911 database seen by the emergency service provider.
USE OF A NON-NATIVE TELEPHONE NUMBER MAY LIMIT EMERGENCY
AUTHORITIES ACCESS TO YOUR LOCATION INFORMATION. If you are using a
non-native telephone number (a telephone number from a different exchange than the
one in which you are using the CompleteVoice Service), emergency authorities or
personnel may be unable to determine the location from which you are calling.
POWER OUTAGES MAY DISRUPT YOUR E911 SERVICE. Your Multimedia Terminal
Adaptor (MTA) includes a battery backup that provides up to 6 hours of backup power
in the event of a power outage. The MTA must be plugged in to maintain a charged
battery. YOU EXPRESSLY ACKNOWLEDGE THAT YOU WILL NOT BE ABLE TO
PLACE OR RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911
SERVICES, IF YOU ARE EXPERIENCING A POWER OUTAGE AND THE BATTERY
POWER ON YOUR MTA RUNS OUT.

BROADBAND CONNECTION FAILURE WILL DISRUPT YOUR E911 SERVICE. YOU

EXPRESSLY ACKNOLWEDGE THAT YOU WILL NOT BE ABLE TO PLACE OR
RECEIVE CALLS, INCLUDING CALLS TO ACCESS EMERGENCY 911 SERVICES, IF
BRMEMC OR FIDELITY IS EXPERIENCING AN OUTAGE IN ITS NETWORK.
YOUR E911 SERVICE WILL NOT WORK IF YOUR MTA, OR OTHER EQUIPMENT
REQUIRED FOR THE COMPLETEVOICE SERVICE IS IMPROPERLY INSTALLED
OR CONFIGURED.
Acknowledgement
I am at least 18 years old and am the person responsible for making decisions about
voice services in this household. I have read the document titled Some Important
Information about Fidelity Communications Services III, Inc.s E911 Service, including
the limitations on Fidelitys E911 service. I understand and acknowledge these
limitations.
For additional assistance, you may contact our Customer Service Department by phone
at 706-379-3121 or by mail at BRMEMC, 1360 Main Street, Young Harris, GA 30582.

______________________________________
Signature
_____________________________________
Print Name
_____________________________________
Date

BRMEMC Enhanced Voice Messaging

With BRMEMC Voice Messaging, you and other users are called subscribers. As a subscriber, you can use the system to receive messages from
outside callers and send messages to other subscribers with in the network. You can manage your voice messages from any touchtone phone,
customize mailbox preferences and set up notification options.
Your general access number, mailbox number (telephone number) and personal identification number (PIN) will be needed each time you use
BRMEMC Enhanced Voice Messaging system.
GENERAL ACCESS NUMBER: 706-770-2100
MAILBOX NUMBER: your ten digit telephone number (including area code)
PIN (four digits): Default PIN is 1234.
INITIALIZING YOUR MAILBOX:
1.
2.
3.
4.

From a telephone keypad, dial the General Access Number:

A voice prompt will ask for your mailbox number. Enter your ten digit telephone number and press (#).
A voice prompt will ask for your personal identification number. Enter the default PIN (1234) and press (#). The system will then prompt
you to enter a new PIN.
At this point, your mailbox is initialized. You can now record your name announcement and greeting. If you want to set up your mailbox at
another time, press (*) to exit to the Main menu, or simply hang up.

ACCESSING YOUR MAILBOX FROM ANY PHONE:

1.
2.
3.

Dial the General Access Number:

Enter your mailbox number and press (#).
Enter your PIN and press (#). You can also reach your mailbox by dialing your own telephone number, wait for the greeting to begin
playing, and press (*). An Enhanced Voice Messaging will then prompt you to enter your ten digit mailbox number. After pressing (#), the
system prompts for a PIN.

ACCESSING YOUR MAILBOX FROM YOUR PHONE:

1.
2.

Dial the General Access Number from the same telephone number as your mailbox number.
Enter your PIN and press (#).

CHECKING MESSAGES:
When a new message is deposited in your mailbox, a message waiting indicator may light on your phone or you may hear a stutter dial tone when
you pick up the receiver. Once you listen to or open a new message, it is saved until you delete it.
1.
2.
3.
4.

Access your mailbox.

The system plays your message inventory, stating the total number of new voicemail messages. Then, the system automatically plays new
voicemail messages.
While the messages are playing, you can press (*) to hear the Main menu options, where you can select from the message type and new and
saved messages.
Press (1) to listen to new messages or press (2) to hear saved messages.

CHANGING USER OPTIONS:

To change your name, greeting, PIN, message playback options or notification options:
1.
2.

Access your mailbox.

Press (9) for User Options and follow the voice prompts for the option you wish to modify.

HELP?
If you miss an instruction, wait and the options will be repeated. If at any time you get frustrated and wish to leave your voicemail box, simply hang
up. You will not lose any messages or settings. If you need help setting up your voicemail box, or have any questions concerning BRMEMC Enhanced
Voice Messaging, call 828-837-1017.

CUSTOMER AGREEMENT
Date:
CSR/Sales Rep:

GENERAL INFORMATION
Classification:

Residential

Business

Type:

Applicant or Business Name:

Business Owner:

Co-Applicant/Co-Owner Name:

Access Code:

Service Address:
City/State/Zip:
Billing Name:
Billing Address:
City/State/Zip:
Phone #:
Residence/Business:

Fax:
Rent

Own

Landlord Name:

Landlord Phone #:

Landlord Address:
City/State/Zip:
Installation Contact:

Phone #:

Installation Contact:

Phone #:

CREDIT AUTHORIZATION
Please complete one of the following:
FEIN (Federal Employee ID #):

Tax Exempt #:

Social Security #:

Driver's License #:

AUTHORIZED REPRESENTATIVES
I agree, by signing below, that the following person(s) is appointed as my authorized representative(s) to receive information
regarding my service, to change my service and/or to discontinue my service.
Authorized Representative:

Access Code:

Authorized Representative:
Authorized Representative:

Access Code:
Access Code:

Authorized Representative:

Access Code:

LONG DISTANCE AUTHORIZATION

I agree, by signing below, that I authorize the long distance company named here to be my long distance carrier.
Long Distance Company

PIC

I select the following carrier for my intraLATA dialing:

Fidelity Communications Services III

I select the following carrier for my interLATA dialing:

Fidelity Communications Services III

CUSTOMER AUTHORIZATION/LETTER OF AGENCY

By signing below, I understand and agree that all information provided is accurate and true to the best of knowledge. I understand that I must be
18 years or older to enter this agreement. A deposit may be required at the time of establishing service/or equipment. I further understand that
even if I was not initially required to pay a deposit, Blue Ridge Mountain EMC reserves the right to require a deposit at a later time to continue
service should I default for failure to make timely payments. No payments will be charged to my credit card unless I have selected that option and
freely given my credit card information. I also give Blue Ridge Mountain EMC permission to check credit and credit history with one or more credit
bureaus. I have read and understand all terms and conditions for establishing service with Blue Ridge Mountain EMC.
By signing below, I agree to allow Blue Ridge Mountain EMC to provide the services selected. I explicitly authorize Blue Ridge Mountain EMC to
have access to the Customer's Proprietary Network Information (CPNI) data to place an order to change or establish my service. This
authorization allows Blue Ridge Mountain EMC to provide my telephone exchange services.

Signature:

Date:

Signature:

Date:

If tax exempt, customer must provide tax certification form.

UNDERGROUND ELECTRIC AND/OR FIBER SERVICE

This Agreement, dated as of
1. Whereas, Applicant has applied to the Cooperative for underground
electric and/or fiber.
2. Whereas, the conditions for such service are stipulated in Cooperatives
Policy Bulletin No. 326, included by reference thereto as a part of this
agreement and with which the applicant acknowledges he is familiar,
particularly the General Conditions attached hereto; and,
3. Whereas, in keeping with said Policy, the Applicant agrees to make a cash
contribution, in advance of construction.
NOW, THEREFORE, the Cooperative does hereby agree to make such underground
installation in keeping with its own plans and specifications and at a time convenient to
the Cooperative, which convenience includes availability of materials and equipment,
favorable weather conditions and prior commitments.
This agreement is binding for current and all future applications for underground electric
Service. IN WITNESS WHEREOF, the parties hereto have affixed their respective
signatures as of the year and date first above written.
Print Applicant Name:
Signature:
WLWQHVV
Blue Ridge Mountain EMC
By
(PLEASE READ POLICY NO. 326 ATTACHED AND SIGN BEFORE RETURNING FORM)

BLUE RIDGE MOUNTAIN ELECTRIC MEMBERSHIP CORPORATION

POLICY BULLETIN NO. 326
SUBJECT: UNDERGROUND SERVICES - EXTENSION POLICY
The Cooperative will extend underground service, upon request, to its consumers under the
following conditions:
I.

GENERAL CONDITIONS (applicable to all underground installations)

A. All charges required to be paid under the terms of this policy will be payable in
advance or by credit arrangements satisfactory to the Cooperative. After the line is
constructed no refund of contributions will be made by the Cooperative.
B. Where it is necessary to trench along roads, streets or drives (due to inadequate rightof-way, etc.), or where water lines, sewer lines, shrubs, trees and grass sod are
subject to damage during underground installations, the Cooperative will not be
responsible for damage, replacement or repair resulting from or required as a result
thereof.
C. Underground installations will be made with the understanding that, should it be
necessary to uncover the cable for maintenance and/or repair, the Cooperative will
use reasonable care and diligence to preserve and protect water lines, sewer lines,
sod, shrubs, trees, driveways, etc., but will not be responsible for loss of or damage to
natural or man made objects, including but not limited to water lines, sewer lines,
sod, shrubs, and trees, or replacement of paving.
D. Where, due to rock that cannot be moved by standard excavating equipment, the
owner or developer shall be charged by the Cooperative the actual cost of drilling and
blasting through affected area. Where there are other unusual conditions, such as
high water table, which require installation procedures not normally used, the excess
cost of such procedures may be charged by t he Cooperative to the owner or
developer.
E. If the applicant requires outdoor area "Security" lighting as provided for under Rate
Schedule LS, applicant will be required to pay a security light installation fee and any
additional cost resulting from underground installations according to Policy Bulletin
No. 336.
F. The provisions of Policy Bulletin No. 320 concerning acquisition of "Right-of-Way
Easements" apply to extensions made under this policy.

Orig. 02/71
Initials:
Rev. 07/74; 07/81; 10/84; 08/85; 11/85; 08/86; 02/91