This document is an application for prepaid wireless service from Tempo Wireless. It requests billing information, credit card details, shipping addresses if different from billing, and phone numbers and plans for 5 lines of service. The last page outlines the terms and conditions of service, including acceptance of the agreement, age requirements, shipping fees, coverage areas, service limitations, international calling restrictions, payment information, and debt collection policies.

1. Application for Prepaid Wireless Service – Multi-Line
Please complete application IN FULL or processing may be delayed
Page 1 of 3
Billing Address Information
Calling Plans
Special Instructions
Please FAX this application to TEMPO WIRELESS at (866) 357-2712
Credit Card Information
Shipping Address Information If different from Billing Address. Shipping is not available to P.O. Boxes.
VISA Mastercard Discover AmEx
Name on Account
Authorized customer signature
Customer name (PLEASE PRINT) Title Rep ID
Date
• $59.99 – Unlimited Talk, Text, Web, MMS
• $49.99 – Unlimited Talk, Text, MMS
Credit Card Number Expiration Date 3- or 4-digit Security Code (on back of card)
Contact Phone
I authorize Tempo Wireless to charge the above crdit/debit card for any equipment; accessories; applicable federal state and regulatory fees associtated with
the Wireless Service requested on this application.
*Rates do not include activation, taxes, regulatory fees or access fees. Each plan is for 30 days of access. MMS (picture mail) feature available on supported
devices on select plans that include MMS. 4G service is available only on 4G-capable phones in select areas. A $29.99 activation fee applies. For a list of
phones and plans, visit www.tempowireless.com
SERVICE PROVIDED BY TEMPO WIRELESS • 1301 CHESTNUT STREET • EMPORIA, KS 66801
The undersigned hereby agrees to the Terms and Conditions of this Agreement for Prepaid Wireless Serice (“Service”)
including those listed on Page 3 and listed in full on the website – www.tempowireless.com. I understand that the use of
this Service constitutes acceptance of all the Terms and Conditions. I acknowlege that this Agreement for new service
is subject to approval by Tempo Wireless. This application becomes a Contract upon the establishment of service.
Should this Service replace my current Wireless service, I understand that I will need to contact my current provider and
discontinue the phone service one Service is established. Tempo Wireless reserves the right to suspend and terminate
service in Customer breaches this Agreement by failing to adhere to any of the Terms and Conditions.
I reprensent that I am the individual subscriber for the Wirelesss number(s) listed herein and/or have the authority to
change the wireless carriers. If signing on behalf of an entity, I represent that I am a duly authorized epresentative of
the entity shown under “billing name” above; and I have submitted this application in the capacity indicated as my
“Title” indicated below. This Agreement and the services provided hereunder are subject to current Tempo Wireless
Prepaid Terms and Conditions. Some restrictions may apply. For Tempo Wireless Customer Service, call 888-589-7957.
Email Address
Street Address
Name as it appears on the card (PLEASE PRINT)
Authorized Signature Date
Street Address
Apt. No.
Apt. No.
City
City
State
State
Zip
Zip
©2014TempoWireless•10/14

2. Application for Prepaid Wireless Service – Multi-Line
Please complete application IN FULL or processing may be delayed
Page 2 of 3
Phone1Phone2Phone3Phone4Phone5
Make
Make
Make
Make
Make
Plan
Plan
Plan
Plan
Plan
Model
Model
Model
Model
Model
Price*
Price*
Price*
Price*
Price*
Phone Price*
Phone Price*
Phone Price*
Phone Price*
Phone Price*
Phone Total*
Phone Total*
Phone Total*
Phone Total*
Phone Total*
- $20 Discount =
- $20 Discount =
- $20 Discount =
- $20 Discount =
PORT No – Phone number will be based on Billing Address Zip Code
YES
PORT No – Phone number will be based on Billing Address Zip Code
YES
PORT No – Phone number will be based on Billing Address Zip Code
YES
PORT No – Phone number will be based on Billing Address Zip Code
YES
PORT No – Phone number will be based on Billing Address Zip Code
YES
BYOD ESN/MEID:
BYOD ESN/MEID:
BYOD ESN/MEID:
BYOD ESN/MEID:
BYOD ESN/MEID:
Current Carrier
Current Carrier
Current Carrier
Current Carrier
Current Carrier
Current Account Number
Current Account Number
Current Account Number
Current Account Number
Current Account Number
Billing Address of Current Account
Billing Address of Current Account
Billing Address of Current Account
Billing Address of Current Account
Billing Address of Current Account
Name on Current Account
Name on Current Account
Name on Current Account
Name on Current Account
Name on Current Account
Pin/Password
Pin/Password
Pin/Password
Pin/Password
Pin/Password
Phone Number to be Ported
Phone Number to be Ported
Phone Number to be Ported
Phone Number to be Ported
Phone Number to be Ported
Please FAX this application to TEMPO WIRELESS at (866) 357-2712
SERVICE PROVIDED BY TEMPO WIRELESS • 1301 CHESTNUT STREET • EMPORIA, KS 66801
©2014TempoWireless•10/14

3. Application for Prepaid Wireless Service – Multi-Line
Please complete application IN FULL or processing may be delayed
Page 3 of 3
1. ACCEPTANCE: You accept the Agreement and Terms when you do any of the following: (a) place an order with us on paper, orally,
or electronically; (b) tell us orally or electronically that you accept; (c) attempt to use our Services (including, without limitation,
attempting to place a call on the Network or off the Network when roaming, including “911” or similar calls); (d) pay for the Services;
(e) open any package or start any program that says you are accepting the Agreement when doing so; and (f) use your service after
making any change or addition after you have been informed that continued use of the new or modified service will mean you have
given us your acceptance.
2. AGE REQUIREMENT: You must be at least eighteen (18) years of age to subscribe to this Service.
3. SHIPPING: There is an $11.99 minimum shipping and handling charge per order. Shipping rates vary for Hawaii and Puerto Rico.
4. SERVICE: Tempo Wireless charges for all services at the time in which they are ordered. Packages have an Access Period of thirty (30)
days with a 10-day grace period in which to renew or purchase a new 30 Day Access Package. At the end of the 10-Day grace period, if
you have not renewed your Package, your Wireless telephone number will be disconnected, your number will be lost, and you will
lose any unused minutes remaining. Should you run out of minutes during your 30 Day Access Period, you may purchase a new
30 Day Access Package.
5. COVERAGE AND NETWORK: Tempo Wireless’s Prepaid Service coverage will be at least 50% of any ZIP code before that Zip Code
will be shown as serviceable area. Service is available in Hawaii and Puerto Rico on on Lightyear’s Prepaid Service network. Alaska
is not available. In order to place a call, you must be on Tempo Wireless’s Prepaid Service Network. There is no reimbursement for a
dropped call. Roaming is available only on select plans.
6. SERVICE LIMITATIONS: On non-Unlimitd plans, all minutes are considered in-plan minutes on Tempo Wireless’s Prepaid WIreless
Service. Phone numbers cannot be transferred to another party.
7. INTERNATIONAL: All calls using 011 are blocked, except for calls utilizing Tempo Wireless’s International VoIP calling card. All calls
outside the domestic United States, Hawaii, Puerto Rico, Canadam the Caribbean, and other areas on the North American Dial Package
(1+ area code+number), are also blocked.
8. OTHER CHARGES: There is a $19.99 Activation Fee on service where customer still has a phone, but has allowed their number to be
disconnected. Customer must order a new 30 Day Voice Access Package within fourteen (14) days of purchase by calling us toll free at
888-589-7957 from any phone. At that time, you will be given instructions on how and where to ship your phone. If your voice package
has not been activated, Tempo Wireless will refund the full amount initially paid for that Service. There will be no refund in your Voice
Package has been activated. There is n refund of the shipping charges. Lightyear will refund the full amount you paid for the phone less
a $30.00 restocking fee. Equipment returned that is damaged or does not include all components (device, battery, charger, manual and
software) will not receive a refund. Equipment received through and insurance claim cannot be returned or exchanged under this policy.
Separately purchased accessories are not returnable.
10. SERVICE ADDRESS INFORMATION: You must notify Tempo Wireless of any change whatsoever with reference to your service address.
11. PAYMENT INFORMATION: Tempo Wireless offers recurring automated payment of your account by using your credit/debit cad
(“Card”). The company will charge your Card periodically based on your products and services as billed by the Company. All services
considered as advanced payment or prepaid will be charged to your card immediately upon renewal or at the time the service or product
is added to your account. Payments due on the same day the agreement is received may not be processed automatically and may re-
quire that you contact the Payment Center directly to ensure continuation or your services. You may discontinue this program at anytime,
or change the Card to be used. You must contact the Tempo Wireless Payment Center by calling (888) 589-7957 to advise us that you
wish to change or cancel this automated payment plan. In the event that a charge to your Card is not approved, your services may be in-
terrupted or not renewed dependent on the terms of your service agreement. In addition, if any charge to your Card is not approved your
account will be removed from the automatic payment program. The automated payment program will terminate upon the expiration date
of the credit/debit Card listed below. It is your responsibility to ensure that a renewal form be completed and signed whenever you are
issued a replacement Card or you wish to change the Card in use in ordere to continue this service. Please contact the Payment Center
at (888) 589-7957 to advise Tempo Wireless that you have a new Card and arrange to update your information.
12. DEBT COLLECTION: You will be liable to Tempo Wireless for any fee Lightyear incurs in its attempt to collect this debt including, but
not limited to attorney’s fees, court costs, etc.
13: TRADEMARK AND COPYRIGHT USE: Use of any Tempo Wireless trademarks or copyrights is strictly prohibited.
14. DISPUTES: Disputes must be sent to Tempo Wireless in writing within fifteen (15) days of purchase.
15. WARRANTY & CONDITIONS OF SERVICE: These Terms and Conditions are governed by the laws of the Commonwealth of Kentucky
and are subject to change at Lightyear’s discretion. Visit www.lightyear.net for additional Terms and Conditions.
Please FAX this application to TEMPO WIRELESS at (866) 357-2712
SERVICE PROVIDED BY TEMPO WIRELESS • 1301 CHESTNUT STREET • EMPORIA, KS 66801
©2014TempoWireless•10/14