Satcom Direct Customer Service Agreement (“CSA”) V2015.07.05 ACCOUNT PROFILE ...................................................................................................................... 2 INMARSAT SERVICES ................................................................................................................... 3 IRIDIUM SERVICE ......................................................................................................................... 4 VIASAT YONDER SERVICE (Ku Band) ........................................................................................... 4 FLIGHTDECK FREEDOM® DATALINK SERVICE .............................................................................. 5 FLIGHTDECK 360TM ...................................................................................................................... 6 AIRCARE ACCESS AIRCRAFT INFORMATION ............................................................................... 6 APG.............................................................................................................................................. 6 SDR 3G CELLULAR DATA.............................................................................................................. 7 MYflight ....................................................................................................................................... 8 ONEVIEW..................................................................................................................................... 9 GLOBAL ONE NUMBER®............................................................................................................ 10 Confirmation of Information Accuracy, Release of Authority to Verify and Acceptance ........ 10 Page 1 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. ACCOUNT PROFILE COMPANY INFORMATION Customer Name: Mailing Address: City: State: ZIP: Telephone Number: Country: Fax Number: CONTACT INFORMATION Aviation Manager: Email Address: Chief Pilot: Email Address: Director of Maintenance: Email Address: Aircraft Technical Contact: Email Address: BILLING INFORMATION Same as above Use the same billing contact information as tail number (Existing customers): Company Name: Contact Name: Address, City, State, ZIP: Country: Billing Telephone Number: Billing Fax Number: Provide an email address for electronic delivery of monthly invoices (REQUIRED): PAYMENT METHOD (Check one) *You will be contacted by Satcom Direct’s Finance Department to collect your credit card details. Check Credit Card* Wire Payment PO (DUNS Required) DUNS #: AIRCRAFT PROFILE Aircraft Type: Aircraft S/N: Tail Number: ICAO Home Airport Code: Country of Registration: EXISTING PROVIDERS Have cabin services been provided by another service provider? *Please select cockpit datalink provider: Satcom Direct Yes No If yes, please list provider Honeywell GDC Universal Weather ARINC Direct None Page 2 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. INMARSAT SERVICES AERO H, H+, I AESID/OCTAL: Satcom Manufacturer/Model: Manufacturer/Model: SWIFT 64/Mini M SWIFTBROADBAND 1 Router ISN#1: ISN#2: ISN#3: ISN#4: Manufacturer/Model: Antenna Type: AESID/OCTAL: Router Manufacturer: Part #: S/W Version: SIM #1: IMSI: *SIM card or IMSI required. SIM #2: IMSI: SIM starts with 89870, IMSI begins with 901112 SWIFTBROADBAND SERVICE OPTIONS Enable Streaming: 8 kbps ISDN services: 64 kbps ISDN AeroX® 16 kbps 32 kbps Fax/3.1k Audio AeroXR® AeroV Skyshield (VPN connections will be blocked on all tiers) Swiftbroadband GPS Flight Tracking 64 kbps Static IP Address: TM 3 (VoIP) $40 Monthly Fee/SIM Choose your internet access point Europe Global Tier 1 (Program Updates Only) Tier 2 (most streaming services) Tier 3 (most social media) Tier 4 (most cloud applications) US I authorize Inmarsat to provide this aircraft’s Swiftbroadband GPS data to Satcom Direct. Please indicate if this aircraft will fly over Russian airspace Yes MONTHLY SBB PLANS (High/Intermediate Gain Antenna Class 6 & 7) Monthly Plan Xstream2 128 kbps Monthly Monthly Additional Fee Allowance MBs No ANNUAL SBB PLANS (High/Intermediate Gain Antenna Class 6 & 7) 24 Month Prepaid MB Plans Annual Fee Annual Additional Allowance MBs Pay-Go $50.00 0 MB $7.95/MB 6,000 MB Annual $36,000.00 6,000 MB $6.00 100 MB Monthly $750.00 100 MB $7.95/MB 12,000 MB Annual $69,000.00 12,000 MB $5.75 500 MB Monthly $3,500.00 500 MB $7.95/MB 24,000 MB Annual $126,000.00 24,000 MB $5.25 1,000 MB Monthly $6,500.00 1,000 MB $7.95/MB 48,000 MB Annual $228,000.00 48,000 MB $4.75 92,000 MB Annual $414,000.00 92,000 MB $4.50 184,000 MB Annual $782,000.00 184,000 MB No voice minutes included. Prepaid will offer: a) rollover b) fleet c) 24 month expiry period MONTHLY SB200 PLANS (Low Gain Antenna Class 15) 10 MB 150 MB 4 $4.25 ANNUAL SB200 PLANS (Low Gain Antenna Class 15) $99.95 10 MB $7.50/MB 3,600 MB $1,050.00 150 MB $7.50/MB 8,400 MB 12,500 MB 300 MB $1,495.00 300 MB $6.50/MB 700 MB4 $1,995.00 700 MB $3.00/MB Fixed Rate4,5 $2,995.00 1400 MB $3.00/MB $17,500.00 $23,000.00 $33,500.00 3,600 MB $5.50 8,400 MB $3.00 12,500 MB $3.00 1 SwiftBroadband: Streaming and ISDN services are billed per minute and can be costly; therefore these services will not be enabled unless selected. Background IP connections will incur a minimum 2 3 charge of .5 MB per day. XStream: Streaming services 128+ kbps. Per minute rates apply. Aero V: Only available with routers that support a managed VoIP service. (Honeywell CG/CR-710, EMS CCU4 5 200) The service utilizes a streaming channel for QoS (Quality of Service) class. 3-month commitment and no MB rollover. Early termination fee will apply. Plan requires Skyshield data filtering level 4. Streaming is not included. Page 3 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. IRIDIUM SERVICE Iridium Manufacturer/Model: 1-Channel SIM#1: SIM#3: SIM#2: SIM#4: 2-Channel 4-Channel UCH-100 Serial Number for OnGo Fax: Select a Service Plan: (Prices quoted are per SIM card.) Bronze $84.95/Month 20 Minutes/Month, then $1.60/Min Silver $134.95/Month 60 Minutes/Month, then $1.50/Min Gold $234.95/Month 120 Minutes/Month, then $1.40/Min Platinum $539.95/Month 360 Minutes/Month, then $1.35/Min Corporate $999.95/Month 1,000 Minutes/Month, then $1.30/Min Additional active SIMs will be charged at $45.00/month. Fax lines will be charged at $34.95/month. Short burst data will be charged at $74.95/month. VIASAT YONDER SERVICE (Ku Band) Modem Part Number: Modem Serial Number: Antenna Part Number: ACU Part Number: ACU Serial Number: Server Generation: Antenna Serial Number: Gen 1.5 Gen 2.5 Gen 3.0 Gen 4.0 Select a Service Plan Monthly $11,995/month 5 1 Year Contract5 $9,995/month 2 year Contract 5 $8,995/month Annual Contracts: In the event customer terminates Yonder service prior to the expiration of the plan’s term, the customer agrees to immediately pay Satcom Direct a termination fee equal to the charge for each month remaining in the plan’s term. Customer shall not be charged any termination fee if the aircraft receiving service is sold or customer files for bankruptcy protection. Page 4 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. FLIGHTDECK FREEDOM® DATALINK SERVICE COMMUNICATIONS SYSTEM INFORMATION (Select All That Apply) : VHF Aero H Aero H+ Aero I Iridium - IMEI for Short Burst Data(SBD): Aero C - SCU Transceiver Serial Number: Inmarsat Mobile Number (IMN): AVIONICS Data Link ACARS Unit*: Model: *For Primus Epic or EASY: AMI Part Number: Model Number: Software Version: AMI Version Number: FLIGHT MANAGEMENT SYSTEMS (FMS) #1 Manufacturer: Model Number: Software Version: #2 Manufacturer: Model Number: Software Version: #3 Manufacturer: Model Number: Software Version: FLIGHT PLANNING PROVIDER: (list all) 1) 2) 3) 4) Add Jeppesen flight planning service to my FlightDeck Freedom® service plan (Additional Jeppesen documents provided upon activation) FLIGHTDECK FREEDOM® PACKAGE OPTIONS Freedom Package 1 Unlimited datalink via all of the following: VHF, Inmarsat, or Iridium Freedom Package 2 Unlimited datalink via ONE of the following: VHF, Inmarsat, or Iridium FDF Lite Graphical Weather Unlimited datalink via all of the following: VHF, Inmarsat, or Iridium. Excludes oceanic clearance, flight plan uploads, flight plan & enroute wind updates to FMS, NOTAMS, SIGMETS. Unlimited Graphical Weather Updates ($1,000.00 Annual Fee) CALL SIGNS USED OTHER THAN TAIL NUMBER (Please enter below:) SATCOM DIRECT FLIGHT TRACKER Enter the email address of a Main Administrator User. This user will be able to add additional users for their company account. A User Guide/Welcome Packet will be sent to the Main Administrator that is registered. Email Address Page 5 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. FLIGHTDECK 360TM Specify Tail Numbers Plane Simple Users Names For Customers that are NOT subscribed to Flightdeck Freedom, please provide the following: Trip Planners Call Signs 6 For aircraft with Satcom Direct’s Flightdeck Freedom service, there will be no subscription charge for using FlightDeck 360. Aircraft not subscribed will incur a subscription charge of $1,000.00/year/aircraft. AIRCARE ACCESS AIRCRAFT INFORMATION Does this aircraft have Flightdeck Freedom or Swiftbroadband? Yes No Select a Service plan Small Cabin ($1,500/ Year) Additional ($1,500/Year/Aircraft) Large Cabin ($3,500/Year) AirCare ACCESS™ Services Include Annual On-site Training (AirCare Inflight Emergency Medical/BBP/Defib Training) for up to 10 attendees Pre-trip Medical and Security TravelerALERTS™ AirCare MPD™ (Medical control and Authorization) Worldwide Telephone Assistance and Referral 24-hour Physician-Directed Telemedical Assistance Aviation Medical Examined Consults Physician, Hospital, and Clinic Referrals Treatment and Care Advisories Prescription & Document Replacement Assistance Medical Consults Worldwide Patient Tracking Evacuation/Transport Coordination Foreign Medical Care Financial Guarantees ACCESSiJet™ Security Advisories Security Advisories Emergency Translation Services Legal Assistance Referrals Urgent Message Relay Medical Kit Tracking and Renewal Services APG APG Mobile Plan-Add mobile access to my existing APG subscription Plan includes Runway analysis access via Satcom Direct’s Flightdeck Freedom, Flightdeck 360, and FDF Portal APG Reseller: Select Payment Option: $45.00 /month $540.00/annual SD Advanced Plan Plan includes Runway Analysis, Weight & Balance, Access to FDF, FD360, and FDF Portal Select Payment Option: $125.00/month $1,500.00/annual Page 6 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. SDR 3G CELLULAR DATA SDR Serial Number Select Service Plan U.S. Domestic 2,500 MB Monthly $250.00/month, includes 2,500 MB in US, US overage rate of $0.50 per MB. 0 International MBs included, international overage rate of $5.00/MB will apply U.S. Domestic 5,000 MB Monthly $500.00/month, includes 5,000 MB in U.S., U.S. overage rate of $0.35 per MB 0 International MBs included, international overage rate of $4.00/MB will apply U.S. Domestic 5,000 MB/1,000 MB International $825.00/month, includes 5,000 MB in U.S., U.S. overage rate of $.30/MB 1,000 International MBs included, International overage rate of $2.50/MB will apply Worldwide Pay As Go $250.00/month, 0 International MBs included, International overage rate of $3.00/MB will apply Usage within the U.S. will be counted against International included MBs or international overage rate, as appropriate Worldwide 1,000 MB $500.00/month, 1,000 International MBs included, international overage rate of $2.50/MB will apply Usage within the U.S. will be counted against international included MBs or international overage rate, as appropriate Worldwide 2,500 MB $1,000.00/month, 2,500 international MBs included, international overage rate of $2.25/MB will apply Usage within the U.S. will be counted against international included MBs or international overage rate, as appropriate Worldwide 5,000 MB $1,750.00/month, 5,000 international MBs included, international overage rate of $2.00/MB will apply Usage within the U.S. will be counted against international included MBs or international overage rate, as appropriate Worldwide 10,000 MB $3,250.00/month, 10,000 international MBs included, international overage rate of $2.00/MB will apply Usage within the U.S. will be counted against international included MBs or international overage rate, as appropriate MBs used in Tier 1, 2, and 3 roaming countries are billed as follows: Tier 1 - $7.00/MB; Tier 2 - $15.00; Tier 3 - $25.00/MB *Tier 1, 2 and 3 nations' reference list is linked here, https://www.satcomdirect.com/main/docs/SDR%203G%20Service%20Country%20List.pdf Page 7 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. MYflight (Aircraft must have Flightdeck Freedom, Inmarsat Swiftbroadband, Inmarsat Swift 64, or Yonder service in order to subscribe to MYflight) Please select Pricing Plan: Annual $1,500.00 per year per tail Monthly $150.00 per month per tail I authorize Inmarsat to provide this aircraft’s Swiftbroadband GPS data to Satcom Direct. Page 8 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. ONEVIEW Module Serial/Receiver Decoder Unit Number 1: Number of TV Monitors on Aircraft: Module Serial/Receiver Decoder Unit Number 2: Legal Structure: Module Serial/Receiver Decoder Unit Number 3: Tax Exempt Receiver Receiver Position Manufacturer Receiver Model Access Card Number TAX ID: Receiver ID Number (required) Receiver Serial Number 1 2 3 4 5 6 Programming Services Receiver 1 Receiver 2 Receiver 3 Receiver 4 Receiver 5 Receiver 6 Airborne Office Choice DIRECTV Sports Choice Entertainment Unlimited Network Package Sonic Satellite Radio STARZ Super Pack Fox Soccer Plus Hustler TV Playboy TV Sport Subscriptions (all sports subscriptions are non-refundable) NFL Sunday Ticket ESPN GamePlan ESPN Full Court NBA League Pass NHL Center Ice MLB Extra Innings MLS Direct Kick All pricing subject to change. Management fees: $1,500.00/year 1st receiver. $500.00/year each additional receiver. Page 9 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc. GLOBAL ONE NUMBER® U.S.-Based Number (Country Code +1, Area Code 321) European-Based Number ( Country Code +31) MedAire-----Access MedLink Service via Global One Number Aircare ACCESS---- Access Aircare Service via Global One Number (Free value-added service available to MedLink Customers) (Free value-added service available to Aircare ACCESS Customers) Confirmation of Information Accuracy, Release of Authority to Verify and Acceptance I hereby certify that I am, or I am duly authorized by the Customer to sign this CSA and the information in this CSA is correct and true. I agree that a facsimile or electronic copy hereof will be valid and binding for all purposes. In order to assist Satcom Direct, Inc. or its affiliates or subsidiaries (collectively, "SD") in establishing a line of credit, I authorize SD to obtain credit reports and other documentation from third parties. In addition, for billing and other Services and/or Equipment purposes, I also give SD consent to transfer my personal data as necessary. I understand that SD’s acceptance of this CSA is contingent upon SD’s satisfaction with the credit review, and that SD may terminate service without further notice within thirty (30) days of this application if SD is not satisfied with my credit. I further understand and agree that, except as otherwise agreed by SD in writing, the Services and/or Equipment requested in this CSA will be provided by SD pursuant to the SD Terms and Conditions available at https://www.satcomdirect.com/main/legal-notices/termsandconditions.aspx (as amended from time to time). Foreign Registered Aircraft- New customers with foreign registered aircraft are required to pay the following deposit/fee: Iridium Aero – $500.00 deposit Inmarsat Swift 64/Swift Broadband – $3,000.00 deposit Point of Service Activation (“PSA”) Fees- vary from country to country Application Processing Fees A $300.00 application-processing fee will be assessed for Inmarsat new activation and owner changes. A $49.95 application-processing fee will be assessed for iridium new activations and owner changes (per channel). Authorized Name (please print): _______________________________________________ Authorized Signature: _______________________________ Authorized Satcom Direct Signature___________________________ Date: __________ Return completed and signed agreement to Satcom Direct via: Email: Activations@satcomdirect.com or Fax: +1 321.777.3702 Page 10 of 10 This document is considered Satcom Direct, Inc. proprietary information, produced, or distributed with exclusive rights to Satcom Direct, Inc. Neither this document nor its contents shall be reproduced or disclosed to a third party without the express written consent of Satcom Direct, Inc.