er-{{ninja-field-id-126}}


	For Technical Support, please call 1 (559) 261-4444 and select ‘option 2’ from the main menu. Leaving a message on any other extension will delay your support.

215 W. Fallbrook Ave., #203 | Fresno, CA 93711 | 1.559.261.4444 | www.getunwired.com

Customer Information

Customer Name	Address	Agent Name	Case Number

Return Information

Manger Services	Serial / Mac	Qty	Notes

Disclaimer: I agree that the worked performed by unWired Broadband, LLC. personnel meets or exceeds my requirements. I have been informed of any additional charges that may be incurred if unWired Broadband, Inc. is asked to perform any additional labor after the Completion Date noted above.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

April 12, 2022 1:37 pm PDT

er-{{ninja-field-id-126}} Uploaded by unWired Broadband Inc. - hello@getunwired.com IP 64.203.112.2