door2door - I Need Broadband

Door Sales

Broadband Package choice
Select package choice
Contract Term
Step 1 - Enter customers postcode
Enter your postcode below
Only if you have sent a coverage check request and you have received a confirmation reply that we can deliver superfast wireless broadband in your area.
Postcode*

Step 2 - Confirm your location
Because of the way our broadband works, we need to make sure your location is in a suitable location. Use the map below to place the pin exactly on your home, so our engineers can make sure everything is okay prior to installation.

Step 3 - Your customers details
Please enter customer contact details.
Customers First name*
Customers Surname*
Customers Phone number*
Customers Email address*

Installation Address 1*
Installation Address 2
Installation City*
Installation Postcode*
VOIP Telephone line
I would like to add a VOIP phone to my order
Step 3 - Your reseller details
Sales Agent Name*
Agent Offers
Router
Agents Notes or offers

Step 4 - Customer Signature
Please ask the customer to ticket and sign the boxes below.
Customers Signature*
Please sign the box below
Agreements*
I understand theTerms and Conditions and the Fair Use Policy. will be emailed to me
I understand that my service will not be installed until i complete and return the direct debit mandate Direct Debit
I confirm that i have 7 days cooling period to cancel this order before installation where my order is full committed

Door Sales

Step 1 - Enter customers postcode

Step 2 - Confirm your location

Step 3 - Your customers details

Step 3 - Your reseller details

Step 4 - Customer Signature