Summary: Employee End User Form
As a benefit of your employment with Williams College, you may be eligible to purchase Verizon Wireless equipment and wireless
service at a discount. To register, print this form, fill it out, sign it, and fax it to the number in Step 4 below.
Step 1 The Verizon Wireless account must be in your name.
Step 2 You must read and agree to the terms of this form by signing below.
Step 3 You must provide proof of employment by photocopying your employee ID or pay stub.*
Step 4 Fax this form and your proof of employment to 1-800-711-7788
· You understand that your employment with the organization identified below may permit you to obtain wireless service (on
eligible calling plans with a monthly access fee of $34.99 or higher)**
and equipment at a discount provided you meet the other
requirements set forth in the Verizon Wireless Customer Agreement.
· You understand that this discount is based on your organization's agreement with Verizon Wireless, or the Verizon Wireless
Government Employee Discount Program, and that from time to time, your discount rate may be adjusted in accordance with
your organization's agreement or changes to the Government Employee Discount Program.
· You understand that the terms and conditions of the Verizon Wireless Customer Agreement apply to this employee discount
· You agree that, if you are otherwise subject to an Early Termination Fee, you will not be permitted to terminate your service
without being liable for such Early Termination Fee solely because of a change in your rates resulting from either a discount
adjustment to which your organization has agreed or, if applicable to you, changes to the Government Employee Discount