| Non-Recurring Start-up Fee | Option 1 - With Mailbox
$__________ |
Option 2 - W/O Mailbox
$__________ |
| Number of hours per month available to subscriber during Primetime
Number of hours per month available to subscriber during non- Primetime |
__________
__________ |
| Recurring Monthly Charge for above hours
or Recurring Annual Charge for above hours (This Price May Be Discounted) |
Option 1 - With Mailbox
$__________ Option 1 - With Mailbox $__________ |
Option 2 - W/O Mailbox
$__________ Option 2 - W/O Mailbox $__________ |
|
Charge per hour for additional time - Primetime |
Option 1 - With Mailbox
$__________ |
Option 2 - W/O Mailbox
$__________ |
|
Charge per hour for additional time - Non-Primetime |
Option 1 - With Mailbox
$__________ |
Option 2 - W/O Mailbox
$__________ |
Sunday from
Monday from
Tuesday from
Wednesday from
Thursday from
Friday from
Saturday from
|
________ __. M. to ________ __. M.
________ __. M. to ________ __. M. ________ __. M. to ________ __. M. ________ __. M. to ________ __. M. ________ __. M. to ________ __. M. ________ __. M. to ________ __. M. ________ __. M. to ________ __. M. |