2000 Networks - Sales Terms and Conditions Agreement Form Complete this form only if you just purchased a New HR21, H21, R15 or D12 DirecTV receiver. Congratulations on your new DirecTV purchase! Like all DirecTV retailers we sell DirecTV systems and receivers for less than they actually cost us! When you activate your new receiver(s) and their included access card(s) within 30 days of purchase DirecTV pays us an activation commission. This agreement insures us that we are going to receive our commissions. Please read the terms below carefully and follow them precisely. Thank you very much and once again we thank you for shopping at 2000networks.com. Only the credit card holder for this order can complete this form Your Full Name: Your Email Address: Full Name on the DirecTV Account for this Receiver: Phone Number tied to this DirecTV Account: Do you purchase your DirecTV programming directly from DirecTV? Yes, Please process my order No, Please cancel my order Do you agree to activate this receiver with its included access card within 21 days of receipt? Yes, Please process my order No, Please cancel my order Have you read and do you understand and agree to our sales terms? Yes, Please process my order No, Please cancel my order If everything entered above is accurate and complete, consider this form a binding contract between you, the "Buyer" and 2000 Networks, the "seller" and the "Submit" button below your digital signature on this contract. If you agree, type YOUR FULL NAME in the block below and click the "Submit" button. Upon receipt of this form we will process your order immediately. This form can only be signed by the credit card holder from the original order. Sign (type in) your full name here;   Thank you again for shopping at 2000networks.com!