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<br />Siebel No. 1-2KIY A 1 <br /> <br />representative of Customer and delivered to and accepted by an authorized representative of <br />BellSouth Long Distance and/or BSE. This Enrollment Form shall be effective on the date accepted by <br />BellSouth and the Term shall commence on the first day of the next calendar month following the <br />earlier to occur of: (1) 90 days after this Enrollment Form is signed by the Customer; or (2) the date on <br />which a Service Component ordered hereunder is installed at a Customer location or activated in the <br />case of calling card. For purposes of this Enrollment Form, a "Service Component" shall mean a <br />::-~==~~:~=SeMre.-tfOn.;;R\lC~~p:tivafi:[l~j1edicated,access.cir.cuitfcpacketsentjceJine,'-PJC,Changeic.Of'-activation-c----'---. <br />of calling card. Any modification(s), interlineation(s), addition(s) supplement(s) and/or other change(s) <br />to this Enrollment Form by Customer shall render this Enrollment Form null and void. <br /> <br />Cltx of Sunny Isles Bea,:~ A .4 <br />Signature: ~~~r <br />Printed Name: C~~\S-ro Ptt~R- ~ RUSS'o <br />Title: C! \\~ Mtt\-^H\.6C;:.R... <br />Date: <br /> <br />@ 8SIJ.SOUTH <br /> <br />Customer Name: City of Sunny Isles Beach <br />Quote #: 040900802 <br /> <br />v 4.701/04 <br />Page 3 of 3 <br /> <br />PRIVA TElPROPRIET ARY <br />No disclosure outside BellSouth and customer except by written agreement. <br />