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To place an order for Broadband (ADSL), please complete the following form.

Important Note

By submitting the following request you understand that you will be responsible for the provision and programming of a suitable router to access the service, using the configuration details provided to you and for the payment of the £40 BT set-up charge.


User Information

Name : Email Address :

Telephone line you wish to enable for Broadband (ADSL)

Telephone Number:

Address of Telephone Line

Telephone Contact Details

Your Mobile Telepone Number:
Alternative Contact Number:

If migrating from another ISP please provide your MAC code

MAC Code:

Terms and Conditions

 I agree to the terms and conditions of order