First Name Last Name Address Zip Phone Email Electric Choice ID If you would like to be billed for this service on your BGE utility bill, please provide your 10-digit Electric Choice ID, found on your BGE bill. By authorizing BGE HOME to bill directly on your utility bill, according to the payment terms, you agree to be billed and make payment to BGE HOME for all service contracts on the utility bill. Where can I find this? Location of Meter ---InsideOutside Offer Code Yes, I'll join the BGE HOME Email Club for special promotions and news. Terms and Conditions 1.Term: The obligations of this Rental Agreement shall commence upon the acceptance of the Customer's action of clicking the "Sign Up" button on this Rental Agreement by BGE HOME and the installation of the Electric Surge Protection Equipment by BGE HOME. This Rental Agreement may be terminated by either party at any time with written notification to the other party. In the event of termination of this Rental Agreement by the customer during the first 12 months of this Rental Agreement, the Customer agrees to pay an equipment removal charge of $150.00. This Rental Agreement shall remain in effect until cancelled in the manner described herein. Customer has the right to cancel the agreement for a 30-day period after receipt of the Contract. However, if cancellation occurs, the customer agrees to pay the removal charge of $150.00. If a claim has been filed, no refunds will be given. 2. Rental Fee: Customer agrees to pay to BGE HOME the amount of $7.95 plus tax per month for the rental Electric Surge Protection Equipment installed by BGE HOME. The aforesaid rental fee may be changed by BGE HOME after the first year of this Rental Agreement with written notification to customer 3. Default: Customer shall be in default of this Rental Agreement if the Customer fails to pay any payment within one month of the payment due date or when billed, or if the customer moves or tampers with the Electric Surge Protection Equipment in any way, or if the Customer makes any misrepresentation in connection with the rental and/or use of the Electric Surge Protection Equipment, including, but not limited to, any misrepresentation made in connection with any claim made under this Rental Agreement. In the event of Default by the Customer, BGE HOME has the right to terminate the Rental Agreement without notification and to exercise any steps BGE HOME deems appropriate to remedy the default. In the event of termination or default of this Agreement, the Customer agrees to return the rented equipment to BGE HOME or agrees to permit BGE HOME or its agents to enter the premises and take the rental equipment. 4. Limitation of Liability: BGE HOME shall not in any event be liable for any consequential, special, punitive, indirect or incidental damages no matter how occasioned. BGE HOME's only responsibility under this Rental Agreement is to repair or replace, in BGE HOME's sole discretion, the Customer's equipment and/or appliance which is damaged as a direct result of the failure of the Electric Surge Protection Equipment. In no case shall BGE HOME's liability under this Rental Agreement exceed $10,000 during a 12 month period. BGE HOME shall only be liable for electrical surges passing through the Electric Utility's service lines. The Electric Surge Protection equipment will not cover, for example, surges entering through telephone or cable television lines, through satellite dishes, invisible fencing, well pumps, and sustained over voltage or damages occurring from a broken neutral line. A BGE HOME technician must perform an investigation prior to any repair or replacement. In order to obtain service under the Contract, call 1-888-BGE-HOME (243-4663). 5. Ownership: BGE HOME will provide the Electric Surge Protection Equipment to be used by the Customer. BGE HOME is the owner of the equipment and the Customer agrees to pay BGE HOME the replacement cost value of the equipment in the event the equipment is lost, stolen, damaged or destroyed. SurgeGuard® Protection $7.95 Tax (6% State Sales Tax) $.48 Monthly Fee: $8.43 I have read and agree to the SurgeGuard Terms and Conditions and I want the highest level of surge protection available for $7.95 plus tax per month.