HUGHES NETWORK SYSTEM, LLC CHANGE OF OWNERSHIP AGREEMENT FORM

Transcription

1 HUGHES NETWORK SYSTEM, LLC CHANGE OF OWNERSHIP AGREEMENT FORM Date: * Hughes Change of Ownership Hughes Network Systems, LLC Exploration Lane Germantown, MD ChangeOwner@hughes.com Fax: Re. Change of Ownership Agreement Form Attached to this letter is the documentation that must be completed when the ownership of a site or sites where Hughes equipment has been deployed has changed. Full documentation must be submitted to the above address before the change of ownership can begin. For low volume transfers (under 20 sites), allow Hughes 7 to 14 business days to complete the change of ownership. For cases where more than 20 sites are being transferred, please allow 20 to 25 business days after all documentation has been received to complete the change of ownership process. Transferees who do not already have an agreement with Hughes must undergo a credit check and must provide a signed agreement to Hughes. This activity may extend the processing time by another 3 business days. Once the transfer of ownership has been completed, the billing will start on the new account on the cycle following the transfer of ownership. All charges prior to that process being completed will be the responsibility of the Transferor. The Transferor must be in good standing in order for transfer of ownership to be completed. If service to any transferred site is to be terminated, the Transferor will be responsible for any applicable termination fees (service and/or lease). If such termination takes place after the effective date of the transfer of ownership, however, the Transferee will be responsible for any such applicable termination charges.) PAGE 1 OF 7 H50870 (8/13)

2 Section A: Transferee and Transferor Information Please be advised on the following date* transfer of ownership of the attached referenced locations has been agreed to by: Transferor Information: Transferor Brand: Company Name:* Point of Contact:* Title:* Phone:* * Transferee Information: Transferee Brand: Company Name:* Point of Contact:* Title:* Phone:* * PAGE 2 OF 7 H50870 (8/13)

3 Section B: Invoice Remittance Information: Please provide the information as it appears on your invoices from Hughes. Transferor Current Bill-To Information: Hughes Account Number:* Company:* Attention: * * Transferee Current Bill-To Information: Does not have an existing account, see Section C. Hughes Account Number:* Company:* Attention: * * Phone: * If you would like to pay using credit card or through automated E-Check processing, please register or login into the HughesNet Customer Support Center at myhughesnet.com PAGE 3 OF 7 H50870 (8/13)

4 Section C: Transferee Requiring Hughes Agreement Not required if the Transferee has an account established with Hughes, LLC. Hughes Account Number:* Company:* Attention: * * Phone: * Business Type: Franchisee Corporation Partnership Proprietorship Years in Business:* Federal Tax ID:* Banking Information Required for Credit Check: Business Bank Reference:* Branch:* Business Bank Account Number:* Bank Phone Number:* References Required for Credit Check: Trade Reference 1 Name: Trade Reference 2 Name: Trade Reference 3 Name: Phone: Phone: Phone: PAGE 4 OF 7 H50870 (8/13)

5 By signing the following we understand and agree to the terms listed above for change of ownership. The Transferor is responsible for all charges incurred prior to the change of ownership completion. The Transferee has reviewed all agreements with the Transferor and understands their monthly obligations. The Transferee agrees to all charges thereafter and assumes responsibility for the terms associated with each site listed below. Transferor Printed Name Transferor Signature Date Signed Transferee Printed Name Transferee Signature Date Signed CONSENT TO TRANSFER FOR HUGHES USE ONLY The below authorized signatory hereby consents to the assignment as described above: Hughes Network Systems, LLC Name: Title: Date: *Completion of this information is required or processing cannot begin. Delays in processing may cause an inability for the sites to process credit card transactions. PAGE 5 OF 7 H50870 (8/13)

6 HUGHES NETWORK SYSTEM, LLC CHANGE OF OWNERSHIP AGREEMENT FORM Section D: Site List Being Transferred: Current Hughes Account **Current Customer # **New Customer # Current Physical Location for Site Update if New Address Different Be aware that changes in **customer # s will require an interruption in service and may require an onsite technical visit. Most changes are done from midnight to 6 a.m. EST. PAGE 6 OF 7 H50870 (8/13)

7 The changes will need to be coordinated with a Hughes representative to ensure minimal impact on your business. PAGE 7 OF 7 H50870 (8/13)