"Transfer Amendment to Cellular South Service Agreement" - Mississippi

Transfer Amendment to Cellular South Service Agreement is a legal document that was released by the State of Mississippi Judiciary - a government authority operating within Mississippi.

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  • Released on May 25, 2005;
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Transfer Amendment to
Cellular South Service Agreement
This Amendment addresses the transfer of customer telephone service, including the phone number or numbers, from
one party, hereinafter referred to as Transferor, to another party, hereinafter referred to as Transferee. Transferor has
heretofore entered into a Service Agreement with Cellular South which requires any amendment to be in writing signed by
the customer and Cellular South.
NOW, THEREFORE, IT IS AGREED BY THE PARTIES that the original Service Agreement by and between Cellular
South and the Transferor is hereby amended as follows:
1.
The original Service Agreement between Cellular South and The Transferor is identified as follows:
TRANSFEROR
Account Number __________________________________________________________________________
Cellular Number to be Moved________________________________________________________________
Customer Name __________________________________________________________________________
Address ____________________________________City______________________State_______________
2.
The Transferor, original telephone customer, hereby consents to the transfer of customer telephone service and all
rights and liabilities under the above referenced original Service Agreement, as herein amended, including the
telephone number or numbers, to the Transferee named herein.
3.
The Transferee, new telephone customer, hereby agrees to assume ALL LIABILITIES for telephone service and
charges accruing under the above referenced original Service Agreement prior to and after transfer:
TRANSFEREE
New Acct #: Yes____No____Existing Acct No:__________________________________________________
Customer Name________________________________________SSN/TaxID_________________________
Address _________________________________________________________________________________
City____________________________________________ State________________Zip__________________
Work Phone _________________________________Home Phone__________________________________
Employer______________________________Date of Birth_____________________
Credit Level ______________
Dollar amount to move from Transferor account to Transferee account- $______________________________________
Reason for the Transfer_____________________________________________________________________________
All transfers are contingent on the result of the Transferee’s credit check.
This TRANSFER AMENDMENT may be executed in counterpart each of which may be deemed and original.
EXECUTED on this the _______________ day of ____________________, 20_________, by Transferor.
Signed by: ________________________________________________________________________________________
TRANSFEROR – The original wireless customer
EXECUTED on this the _______________ day of _____________________, 20________, by Transferee.
Signed by: ________________________________________________________________________________________
TRANSFEREE – The new wireless customer
WITNESSED on this the ______________day of _____________________, 20_________, by CELLULAR SOUTH.
BY:__________________________________________________________Contact #___________________________
CELLULAR SOUTH – Signature of the Cellular South Representative
All transfers are subject to a charge of $15.50.
**** ALLREQUESTED INFORMATION MUST BE PROVIDED****
Rev 5/25/2005
Transfer Amendment to
Cellular South Service Agreement
This Amendment addresses the transfer of customer telephone service, including the phone number or numbers, from
one party, hereinafter referred to as Transferor, to another party, hereinafter referred to as Transferee. Transferor has
heretofore entered into a Service Agreement with Cellular South which requires any amendment to be in writing signed by
the customer and Cellular South.
NOW, THEREFORE, IT IS AGREED BY THE PARTIES that the original Service Agreement by and between Cellular
South and the Transferor is hereby amended as follows:
1.
The original Service Agreement between Cellular South and The Transferor is identified as follows:
TRANSFEROR
Account Number __________________________________________________________________________
Cellular Number to be Moved________________________________________________________________
Customer Name __________________________________________________________________________
Address ____________________________________City______________________State_______________
2.
The Transferor, original telephone customer, hereby consents to the transfer of customer telephone service and all
rights and liabilities under the above referenced original Service Agreement, as herein amended, including the
telephone number or numbers, to the Transferee named herein.
3.
The Transferee, new telephone customer, hereby agrees to assume ALL LIABILITIES for telephone service and
charges accruing under the above referenced original Service Agreement prior to and after transfer:
TRANSFEREE
New Acct #: Yes____No____Existing Acct No:__________________________________________________
Customer Name________________________________________SSN/TaxID_________________________
Address _________________________________________________________________________________
City____________________________________________ State________________Zip__________________
Work Phone _________________________________Home Phone__________________________________
Employer______________________________Date of Birth_____________________
Credit Level ______________
Dollar amount to move from Transferor account to Transferee account- $______________________________________
Reason for the Transfer_____________________________________________________________________________
All transfers are contingent on the result of the Transferee’s credit check.
This TRANSFER AMENDMENT may be executed in counterpart each of which may be deemed and original.
EXECUTED on this the _______________ day of ____________________, 20_________, by Transferor.
Signed by: ________________________________________________________________________________________
TRANSFEROR – The original wireless customer
EXECUTED on this the _______________ day of _____________________, 20________, by Transferee.
Signed by: ________________________________________________________________________________________
TRANSFEREE – The new wireless customer
WITNESSED on this the ______________day of _____________________, 20_________, by CELLULAR SOUTH.
BY:__________________________________________________________Contact #___________________________
CELLULAR SOUTH – Signature of the Cellular South Representative
All transfers are subject to a charge of $15.50.
**** ALLREQUESTED INFORMATION MUST BE PROVIDED****
Rev 5/25/2005