RadioFibre

Fibre Web Order Form

Thank you for your interest in our services.

Please complete the form below to request your broadband package.

1 Broadband Package

Choose one package.

30Mbps download 5Mbps upload £25.00 per month 50Mbps download 7Mbps upload £28.00 per month 100Mbps download 10Mbps upload £35.00 per month 30Mbps download 5Mbps upload No Use No Fee (PAYG)

2 Installation

Free installation subject to eligibility and approval. Please read the customer information for details of what a standard installation includes and what to expect. Our engineer will advise of any additional installation charges before proceeding to install any equipment.

For full terms and conditions, please see our website.

3 Customer Details

Are you VAT registered?

Yes No

VAT Number

Full Name

Email Address

Telephone

Mobile Telephone

Postcode

Postal Address

4 Agreement I confirm that I have read and understood the Contract and Service Level Agreement and agree to the terms and conditions.

Signature Type your full name as your electronic signature.

Date

Our Contract and Service Level Agreement are provided on the website, your signature on this order form indicates that you have read and understood our terms and conditions and that you agree to them.

Complete the form and email it to sales@radiofibre.com, or print and post to the address below.