Verizon Employee Discount Program

1 Innovatix has been helping members lower their cost of doing business for years. Now our discounts go even further. We ve taken group purchasing to a new level with the Innovatix Employee Discount Program (EDP).Now Innovatix members employees can save 22% on cellular voice and data services through our Verizon Agreement Highlights: Save 22% off qualifying plans with monthly access of $ or higher on Employee subscriber subscriptions. Verizon wireless Member Agreement must be electronically signed by your facility to access corporate or individual discounts. The agreement must be completed, accepted and implemented by Verizon wireless prior to extending the benefits to your employees. How do I join?Online Enrollment Instructions*Requires a company email address1. Visit You will be prompted to check your Discount eligibility by entering your company email address3.

2 If you are eligible to receive discounts, you will reach a Congratulations screen notifying you to check your company email for details4. You will receive an email from entitled Verizon wireless Discounts 5. Click Register your line on the bottom of the email Note: you may have to right click to download pictures6. This will direct you to a Verizon website where you will click Enroll Now located under Discounts7. When prompted to Register your line, enter the primary account holder s information only8. You will then be asked to review your registration and approve the terms and conditions which includes a renewal of your two-year agreementFor more information, visit us at or call (888) Employee Discount ProgramSave 22%Flip over for fax is affiliated with How do I join? (continued)Fax Enrollment Instructions1.

3 Complete the Verizon End User Form2. If you do not have a copy of the form, please contact an EDP Coordinator for assistance3. You must provide proof of employment using your Employee ID or most recent paystub Employee ID: Must contain the company name and your first & last name Paystub: Must contain the date, company name and your first & last name Paystub cannot be more than 60 days old from date of submission To ensure privacy, please blackout your salary, tax amounts, banking information, and social security number 4. Fax the End User Form & Proof of Employment to: (800) 711-7788 Congratulations! You are now enrolled in the Verizon 22% Discount will be applied within 1-2 billing questions or concerns please contact an EDP Coordinator at: (866) 430-5330 or email more information, visit us at or call (888) Employee Discount ProgramSave 22%Eligibility is subject to vendor approval.

4 Cellular voice/data services and accessories Discount subject to 2-year service agreements consistent with terms & conditions of each carrier. Only certain voice/data plans and accessories are eligible to receive the negotiated Discount . Contact carriers for more is affiliated with Employee End User Form As a benefit of your employment with your organization, you may be eligible to purchase Verizon wireless equipment and wireless service at a Discount . The quickest way to register for an Employee Discount is use our online registration by visiting us at In the event your employer is not registered in our online system, please complete and fax this form. If you are FAXING the form Step 1 The Verizon wireless account must be in your name. Step 2 You must read and agree to the terms of this form by signing below. Step 3 You must provide proof of employment by photocopying your Employee ID or pay stub.

5 * Step 4 Fax this form and your proof of employment to 1-800-711-7788 You may be able to register your line for a Discount at - Choose Employee Discounts You understand that your employment with the organization identified below may permit you to obtain wireless service (on eligible calling plans with a monthly access fee of $ or higher)** and equipment at a Discount provided you meet the other requirements set forth in the Verizon wireless Customer Agreement. You understand that this Discount is based on your organization s agreement with Verizon wireless , or the Verizon wireless Government Employee Discount Program , and that from time to time, your Discount rate may be adjusted in accordance with your organization s agreement or changes to the Government Employee Discount Program . You understand that the terms and conditions of the Verizon wireless Customer Agreement apply to this Employee Discount Program .

6 You agree that, if you are otherwise subject to an Early Termination Fee, you will not be permitted to terminate your service without being liable for such Early Termination Fee solely because of a change in your rates resulting from either a Discount adjustment to which your organization has agreed or, if applicable to you, changes to the Government Employee Discount Program . You understand that certain information relating to your service, including your name, your mobile telephone number and total monthly charge may be released to your organization (does not apply to Government Employees). Verizon wireless reserves the right to require proof of your employment (Company ID badge or pay stub). If a review of your employment status reveals that you are not, or are no longer, an Employee of your organization, Verizon wireless reserves the right to remove this Discount and move you to a commercially available calling plan or to a non-discounted service plan for the remainder of your line term commitment.

7 By signing this form or, if returning via e-mail, by clicking the box to the left, you understand and agree to the terms and conditions above as well as the terms and conditions of the Customer Agreement. Employee Signature: Print Name: Date: Mobile Telephone Number: ( ) - Print Email Address: Reprint Email Address: Phone Number where we can contact you (if different from your Mobile Telephone Number): ( ) - If you have additional lines on your account, please list them below ( ) - ( ) - ( ) - ( ) - *Government employees (or employees that do not possess or cannot fax an Employee ID) may fax a pay stub no greater than 30 days old (please delete account and salary information) **Up to five (5) of your Verizon wireless lines are eligible to receive the Employee Discount & they must be on the same account.

8 Family Share Secondary lines are NOT eligible for discounted rates. Visit My Account at or contact Verizon wireless Customer Service at 1-800-922-0204 if a price plan change is required. The Discount will be applied in 1 to 2 billing cycles. For Verizon wireless Use Only ECPD ID: Sales Rep Name: Group ID: Sales Rep ID/Ecode: Sales Rep Location: Sales Rep Ext: 040506 Organization Name.