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Note: Please provide detailed information so we can provision the service faster. Please scan
& email the Order Form, or fax to +62-21-5700580.
Sales Code
Customer Information
Company Name/Customer Name:
Address:
Contact Person
Contact Title
Phone
Fax
Mobile
Email
:
:
:
:
:
Billing Information
Billing Address:
Credit Card No
:
Credit Card Exp Date :
Service Information
We already applied Dual Stack system (IP v4 & v6) on
IPv6 Addresing: [ ] Yes [ ] No
our network and we highly recommend you to add IPv6 to
your network.
Service Capacity:
[ ] 10 Mbps
[ ] 15 Mbps
[ ] 20 Mbps
] 25 Mbps
] 50 Mbps
] 80 Mbps
] 100 Mbps
] 250 Mbps
] 500 Mbps
Signature
10/27/2015
Page 1 of 9
Monthly fee
Service Capacity
Installation Information
Address - Node A
Address - Node B
] Immediately [
] Date (Month/date/year)
Marketing Information
How do you know Biznet?
[ ] Newspaper
[ ] Magazine
[ ] Radio
[ ] Billboard/Baliho
[
[
[
[
] Biznet Website
] Search Engine
] Referenced by friend/family/colleague
] Others:
Signature
10/27/2015
Page 2 of 9
Authorization
Print Name:
Date:
Internal Use
Account Executive
Supervisor
Branch Manager
Provision Engineer
Date
Date
Date
Date
Signature
10/27/2015
Page 3 of 9
Pasal 4 Pembayaran
1. PELANGGAN wajib membayar biaya pemasangan dan
biaya bulan pertama setelah dimulainya instalasi fasilitas
layanan BIZNET sesuai dengan yang tertera di dalam
Formulir Berlangganan Layanan.
2. PELANGGAN
wajib
membayar
biaya
Layanan
sebagaimana tercantum pada Formulir Berlangganan
Layanan ini selambat-lambatnya pada setiap tanggal 25
(dua puluh lima) untuk bulan tagihan berjalan.
Article 4 Payment
1. CUSTOMER shall pay the installation fee and the first
month fee after the installation of BIZNET Services
and Facilities as stipulated in this Order Form.
Signature
10/27/2015
Page 4 of 9
Article 5 Responsibilities
1. CUSTOMER will provide the necessary equipment
required for BIZNET Services and Facilities to
commence operation on activation date.
2. CUSTOMER responsible for the equipment that
BIZNET had lent. And if the equipment broken
because of the negligent CUSTOMERs, than the
CUSTOMER must replace the equipment with the
same equipment or pay the same amount of the price
of the equipment.
3. CUSTOMER shall not change the technical
specification and configuration of BIZNET Services
and Facilities or connect to the said facilities in any
other way without a written consent from BIZNET.
4. CUSTOMER shall not connect the BIZNET network
and/or facilities to any public telecommunication
network (PSTN) including but not limited to telephone,
telex or data communication lines.
5. Customers shall not resell all or any parts of the
services rendered, dividing the assigned IP address
(where applicable) or any related services to other
parties in conjunction to the rendered services.
6. CUSTOMER will grant access to BIZNET and or its
agent to enter its facility and/or premises at any time
to perform general maintenance and reparation of the
installed facilities. BIZNET with written notice before
requesting access.
7. BIZNET shall be liable for the maintenance and repair
of any damage or service interruption on BIZNET
transmission or facility. Should there be any damage
or interruption caused by the mistake, deliberateness
or negligence of CUSTOMER, BIZNET reserve the
right to collect a maintenance fee.
8. CUSTOMER shall be entitled to a refund for any
services interruption. Compensation shall be
computed as set forth in Article 6 or in the attachment
this Agreement and shall not apply in the case of
Force Majeure or should the interruption have been
caused by Negligent of the CUSTOMERs and
malfunction in the terminal(s) operated by
CUSTOMER and Force Majeure.
9. BIZNET shall not be liable for the accuracy,
confidentially and or quality of the information
transmitted through BIZNET service.
Signature
10/27/2015
Page 5 of 9
Formula
Description
X
=
Y
=
Z
=
99.8% =
:
(X * Y) / (Z * 99.8 %)
:
monthly fee before VAT
monthly cumulative downtime (hours)
respective month total hours
Biznet Delivery Service Level
Pasal 7 Pembatalan
PELANGGAN akan dikenakan biaya pembongkaran
peralatan
yang
terpasang
apabila
membatalkan
berlangganan Layanan BIZNET sebelum tanggal aktivasi.
Article 7 Cancellation
CUSTOMER shall pay a de-installation fee for the
cancellation of its BIZNET subscription if the cancelation
is made prior the activation date.
10/27/2015
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10/27/2015
Page 7 of 9
Article 12 Responsibilities
For using the Service provided by Biznet,
CUSTOMER Agrees to:
a Comply with all applicable law; the rules and
regulations that are applicable to the public and
solely responsible for all matters relating to the
use of this service;
b
c
d
10/27/2015
Page 8 of 9
Article 13 Miscellaneous
1. By
signing
this
Order
Form,
then
all
dealing/agreement already signed is still effective as
long there is no conflict between this terms and
condition. If there is contradiction with the previous
dealing/agreement, then this terms and condition be
avowed applicable.
2. THE PARTIES recognizes and agrees that this Order
Form bound and binding as the agreement to THE
PARTIES.
3. In case of discrepancy between the English text and
Indonesian text herein, the Indonesian text shall
prevail.
Signature
10/27/2015
Page 9 of 9