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Installation Letter of Permission

SALES CONTACT AND INSTALLATION DATE


Sales
Representative:

Date:
Proposed Install
Date:

Contact Number:

CUSTOMER INFORMATION
Name of
Business:

Business
Contact:

Street Address:

Line 2:

City:

State:

Primary Tele#:

Alt. Tele# :

Account
Number:

Landlords #:

Zip
Code:

CUSTOMER warrants that he/she/it owns the aforementioned property at which the installation or service work is being performed and will allow
Dish Network Service L.L.C. (DNSLLC) and its subcontractors to make whatever alterations DNSLLC considers appropriate for the work to be
performed, which may include, without limitation, drilling holes in exterior walls for cable runs and installing a non-penetrating roof mount
apparatus and/or a wall mount apparatus for use with television installation(s). CUSTOMER agrees to indemnify and hold DNSLLC and its
affiliates, and its and their subcontractors harmless from and against any damage, loss or expense of any nature whatsoever caused or claimed
to be caused by the installation of equipment, service work performed hereunder, or as a result of CUSTOMERs failure to obtain proper consent
of the owner of the premises.
_______

I/we understand that roof access must be provided on the date and time of the installation.

_______

I/we agree that the signed and completed Installation Letter of Permission must be provided to the technician on the day
of installation in order for services to be performed. If the letter is not provided to the technician, it is understood that
the installation will be rescheduled until such time that the document is made available.

_______

I/we understand that there will be no drilling into the roof of the aforementioned property under any circumstances.

As the owner of the above-mentioned property, I/we represent that I/we have the authority to initial and sign this Letter of Permission and
hereby do authorize installation of a DISH Network satellite antenna and system by DNSLLC or its subcontractor.
Printed Name of Customer/Business

Signature of Customer/Authorized Representative

Date

LANDLORD/PROPERTY MANAGER warrants that he/she/it owns/manages the aforementioned property at which the installation or service work
is being performed and will allow Dish Network Service L.L.C. (DNSLLC) and its subcontractors to make whatever alterations DNSLLC considers
appropriate for the work to be performed, which may include, without limitation, drilling holes in exterior walls for cable runs and installing a
non-penetrating roof mount apparatus and/or a wall mount apparatus for use with television installation(s). LANDLORD/PROPERTY MANAGER
agrees to indemnify and hold DNSLLC, its affiliates, and its and their subcontractors harmless from and against any damage, loss or expense of
any nature whatsoever caused or claimed to be caused by the installation of equipment, service work performed hereunder, or as a result of
LANDLORD/PROPERTY MANAGERs failure to obtain proper consent of the owner of the premises.
_______

I/we understand that roof access must be provided on the date and time of the installation.

_______

I/we agree that the signed and completed Installation Letter of Permission must be provided to the technician on the day
of installation in order for services to be performed. If the letter is not provided to the technician, it is understood that
the installation will be rescheduled until such time that the document is made available.

_______

I/we understand that there will be no drilling into the roof of the aforementioned property under any circumstances.

As the landlord/property manager of the above-mentioned property, I/we represent that I/we have the authority to initial and sign this Letter of
Permission and hereby do authorize installation of a DISH Network satellite antenna and system by DNSLLC or its subcontractor.

Printed Name of Landlord/Property Manager

Signature of Landlord/Property Manager

Date

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