App Test

https://westriv.com/help-support/assistance-programs/

By signing this application, the Customer agrees to the following. High-Speed Internet service activation includes a single home run wire to a designated point for handoff to a residential gateway and RTC Networks' Technicians will verify internet connectivity. Any additional work done at the customer's request (including, but not limited to, moving existing jacks or installing new jacks) will be billed at RTC Networks (“RTC”) prevailing hourly rate plus materials.

RTC Networks offers one residential gateway for lease as part of the package. Residential gateways, power supplies, and cords remain the property of RTC Networks, and in some cases, may need to be returned when service is disconnected. Equipment that is not returned within five (5) days after disconnection will be billed to the Customer at reasonable retail rates.

RTC Networks provides this service for the purpose of direct access to the Internet. This is not a wholesale service therefore it cannot be resold by the customer. Please read RTC Networks Acceptable Use Policy; it is listed in the Legal Notices section of our website www.RTC.coop. Violation of the policy may jeopardize your service.

I have read and understand the above information and authorize RTC Networks to install high-speed internet service. I am at least 18 years of age and the name on the account where the service will be installed matches the name above. This agreement is nontransferable.

BY SIGNING BELOW, If you selected VoIP service above, you acknowledge and understand that VoIP Service is different in a number of important ways from traditional phone service, and you agree to inform any household residents, guests and other third persons who may be present at the physical location where you utilize the Service of the differences and limitations of the Service. Such differences include but are not limited to: The 911 service may not function in the event of power failure, or outage of, or termination of service with or by your Internet/service provider and calls from your location to any Enhanced 911 emergency center will report the physical address you provided when the service was initiated.

Delivery, Use, Care, Replacement Services, Right of Entry

By signing this application, you agree that any equipment delivered and installed at your address as reflected in our business records, is for personal use at said address. You agree not to remove it from the address except to return it to us. You agree to take reasonable care of the equipment and agree not to open the equipment (except change batteries in the remote control), take apart, or to alter it in any way. You are responsible for all damage to the equipment, beyond reasonable wear from normal use, which occurs before you return or surrender it to us. The equipment must be returned in fully usable condition. Except for damage caused by misuse or abuse, if you notify us of equipment failure, we will repair it or exchange it for properly functioning equipment. You agree to allow us to enter your installation address, at any reasonable time, to inspect, repair, replace, or remove the equipment.

Payment for use of service and failure to comply with agreement

Your use of the equipment and services you receive are subject to the various policies of RTC Networks. Such policies and practices are subject to change. Monthly fees for use of the equipment are billed in advance. If you fail to comply with your commitments contained herein, or with any term of the agreement under which you are receiving services from us, you understand and agree we may do any combination of one or more of the following: 1.) terminate your right to use of the equipment; 2.) terminate your right to receive services from us; 3.) recover the equipment; 4.) bring legal or other action for return of the equipment and any amounts due to us hereunder, together with liquidated damages for failure to return the equipment as required herein.

If you choose to stop using the equipment

You may terminate your use of the equipment by contacting customer service. When you do so, or if we terminate your right to use the equipment as described above, we will ask you to return the equipment. All rental payments and additional charges will be due to us at this time. You agree to cooperate and make yourself available to return the equipment to us. EQUIPMENT NOT RETURNED UPON DISCONNECT IS BILLABLE.

Liquidated damages for failure to return equipment

If you fail to timely return the equipment to us in accordance with your commitment herein, you understand and agree that the costs and damages we will incur are not readily ascertainable and are difficult to predict or calculate at the time. You agree that a reasonable estimate of our damages is the replacement cost for the equipment and power cord(s), plus the costs associated with our attempts to recover the equipment from you. Again, when you are required to return the equipment to us, we appreciate in advance your cooperation in making sure the equipment is promptly returned.

*ALL MATERIALS AND LABOR INSIDE PREMISE WILL BE BILLABLE ABOVE AND BEYOND THE ACTIVATION CHARGE. NOTE: An incomplete application may delay installation of services.

I (We) hereby apply for phone/internet/tv service from RTC, with the understanding that I (We) am (are) fully responsible for payment of the account. I (We) further agree that RTC can apply any accumulated capital credits to the account if the account becomes delinquent. Furthermore, by signing this service agreement, I(We) hereby agree to abide by the rules, regulations and by-laws of the cooperative, which can be found at www.RTC.coop, or by calling the RTC office, and, if applicable, the equipment and internet agreements outlined above.

By entering your initials on the line below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.

This institution is an equal opportunity provider and employer.

Payment Options Brochure

Power Backup Disclosure

W-9 Form & General Instructions

As a cooperative member-owner, W-9 is required to pay out Capital Credits. If a joint account, both members must complete a W-9.

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.

Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later.
Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter.

Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.