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(Version 09/2009) 2way2sat Service Agreement and Commissioning form 1. Company 1.1. Customer / Distributor Company: _____________________ Country: ______________________ 1.2. Contacts Commercial Name: Tel: Mobile: Fax: E-Mail: 2. Operational Name: Tel: Mobile: Fax: E-Mail: Technical 2.1. Requested Commissioning Date:__________________ 2.2. Network Information LinkStar Europe, Middle East, Arica LinkStar America Europe ME, North Africa ME, Asia Sub-Saharan Africa South America, Caribbean South America, Caribbean Indian Beam Southeast Beam Europe, ME, North Africa Europe; ME, North Africa Europe; Northern (Sahara) Africa Europe, SubSaharan Africa , ME, North Africa, Asia Asiasat 4C Asia Asiasat 2C ME, North Africa, Asia Intelsat 903 LinkStar & iDirect Asia iDirect Telstar 11N Sub-Saharan Africa SCPC/SCPC -1 press AM-1 ME, North Africa, Asia iDirect Evolution (X3)DVB-S2 Telstar 11N W6 DVB/SCPC Inclined Orbit Middle East C-Band Sub Sahara Asia -703 AsiaSat 4C Central Asia, Southeast Asia Sub-Saharan Middle East -806 South America __________ Middle East PAS-10 EUROBIRD4A Sub-Saharan Africa DVB/SCPC PAS-1R (please specify) Page 1 of 5 __________ ME, North Africa, SubSaharan (please specify) 2.3. Service type 2.3.1 IP-Access LinkStar Services EUTELSAT SESAT2 EUTELSAT W3A / Telstar 12 Plus (max. 512 kbps Outbound max. 128 kbps Inbound) EUTELSAT Eurobird 3 Plus (max. 512 kbps Outbound max. 128 kbps Inbound) Coliseum (max. 1024 kbps Outbound max. 512 kbps Inbound) Premium (max. 2048 kbps Outbound, max. 1024 kbps Inbound) EUTELSAT W6 nbound) 2.3.2 IP-Share iDirect Services EUTELSAT W6 / EUTELSAT W6 (X3) / EUROBIRD 4A (X3) / Express AM1 / PanAmSat PAS-10 / PAS-1R / Telstar 11N / Telstar 11N (X3) Team Plus Division Corporate 2.3.3 max.__________kbps Outbound, max. _________kbps Inbound max.__________kbps Outbound, max. _________kbps Inbound max.__________kbps Outbound, max. _________kbps Inbound IP-Connect LinkStar & iDirect / IP-Backbone Service LinkStar Inbound iDirect 384 kbps Outbound 2.3.4 384 kbps IP-Connect (SCPC/SCPC or DVB/SCPC) Inbound* _______________ kbps Outbound* _______________ kbps SCPC _______________ kbps Page 2 of 5 *only CIR possible 2.4. Terminal Information (RSCT/ Modem) Model, Type MAC Address (if available) Serial Number (id) 2.5. ________________________________________________ ________________________________________________ ________________________________________________ Site Country: ______________________________ City or location_______________________________ Longitude of Site Latitude of Site ____________ E (+); W (-) ____________ N (+); S (-) 2.6. Antenna size 2.7. BUC Type & Power (with two decimals or in ° and minutes) (with two decimals or in ° and minutes) Model/ Type: ___________________________ Local Oscillator (LO): ________________________ 2.8. LNB Model/ Type: __________________ 2.9. LO = 10.0 LO = 11.3 _________ Applications to be implemented (e.g. particular SMTP servers and POP3 servers) 2.10. Request for Public IP-Addresses implementation LinkStar & iDirect YES I request Public IP-Addresses Network/30 Subnet as mentioned in the price list* -Addresses Network/29 Subnet as mentioned in the price list* -Addresses Network/28 Subnet as mentioned in the price list** -Addresses Network/27 Subnet as mentioned in the price list** IP-Addresses Network/26 Subnet as mentioned in the price list** * Not available for every LinkStar and iDirect service, please refer to the price list ** Only available for iDirect services, but not available for every service, please refer to the price list 2.11. Request for Public IP-Addresses implementation DVB/SCPC and SCPC/SCPC - Addresses:____________________ as mentioned in the price list Page 3 of 5 2.12. Installer Company: Address: Name: Tel: Mobile: Fax: E-Mail: installer has the necessary measurement equipment for the line up available (spectrum analyzer; compass, inclinometer). 3. 3.1. Commercial Type of Agreement (Previous Agreement No: 3.2. _______________) Service Term with yearly renewal At the expiry of the initial term, the Agreement shall be automatically renewed by tacit reconduction for the same period as the initial term, unless terminated by either Party by registered letter or confirmed email at least 6 weeks before the end of the then current term. In case an individual agreement has been made concerning the service term, the regulations of the additional agreement apply. 3.3. Pricing Scheme Commissioning Fee: ___________ EUR / US $ Monthly Service Fee:___________ EUR / US $ Reconnection Fee: ___________ EUR / US $ 3.4. Deposit or other Security Deposit Amount _______________EUR / US $ Activation of the station is subject to receipt by atrexx of any required deposits and/or security. 3.5. Invoicing Scheme 3.6. Start date for invoicing Effective Operational Service Date: 3.7. ___________________ Invoicing Address Only needed if address not yet registered with atrexx or different from registered address. Page 4 of 5 Company: Address: Registration No.: VAT (for EU Customers only): Name: Tel: Mobile: Fax: E-Mail: 4. Comments 5. Signature In case of customer being a distributor: Distributor hereby certifies that this Service Agreement is made in accordance with the terms and conditions contained in the atrexx 2way2sat Internet and IP over Satellite Distribution Agreement. This Agreement and all matters related to the interpretation and performance thereof shall be governed by and construed in accordance with the laws of Germany. All disputes and claims arising out of or relating to this Agreement shall be brought and/or defended in the courts in Germany in charge of atrexx’ place of principal office, as defined by German law. Agreed for atrexx Ltd. & Co.KG Agreed for Customer ....................................................................... Full Name of the person signing: ............................................................................ Full Name of the person signing: Date: Date: Page 5 of 5