Gila River Telecommunications, Inc. is the recipient of Federal financial assistance from the U.S. Department of Agriculture (USDA). The USDA prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call toll free (866) 632-9992 (voice) or (800) 877- 8339 (TDD) or (866)377-8642 (relay voice users). USDA is an equal opportunity provider and employer. By signing this application, the undersigned agrees to the rules and regulations of the Gila River Telecommunication, Inc. As set forth in the exchange tariff and on any general changes in the rules, regulations or rates for the service furnished. Upon request the undersigned also agrees to show proof of ownership, rental or lease agreement of the premises in which service, construction and maintenance will be provided. All service lines supplying the undersigned with telecommunications and facilities constructed or installed by the telephone company, on said property, shall at all times be the sole property of the Gila River Telecommunication, Inc. The company shall have the right of access to said property to repair, service and maintain such facilities and upon discontinuance of service for any reason, to remove the same.