Title * : First Name * : Last Name * : Address * : Postcode * : Town * : Country * : Telephone * : Mobile : Email * : Where did you hear about us ? : Comment : Satellite Broadband : Select a Package : Tooway 6 (6Mb/1Mb - 4Gb) 29.95€ ** Tooway 8 (8Mb/2Mb - 8Gb) 44.99€ Tooway 10 (10Mb/2Mb - 13Gb) 59.99€ Tooway 10 plus (10Mb/4Mb - 25Gb) 119.99€ Hardware : Purchase (Payment for modem and dish with 24 month warranty) 229.99€ 179.99€ (or 120€ for Tooway 10 plus) ** Contract / Activation Fee : 12 Month Contract + 109.99€ 24 Month Contract + 54.99€ ( 0€ for Tooway 10 plus) ** 36 Month Contract - 0€ Preferred Installation Dates : Installation : Professional Installation 199.99€ ** 99.99€ + 10.00€ / month Extras : N Wireless router 79.95€ Landline & Calls (optionnal) : Line Rental & Calls : No Line Rental 0.00€ ** Simply Landline (Line Rental + Paygo Calls) 16.00€ per month Onebill (Line Rental + Unlimited calls to UK and FR landlines) 28.50€ per month Onebill Plus (Line Rental and Unlimited calls to Anglo Countries) 35.00€ per month Free Options : Number permanently withheld on the landline Free UKDirect2u Number Register in French Directory Landline Calling Features : No Display ** Number Display (1€/month) Name Display (1€/month) Call Waiting (1€/month) Transfer of Calls (1€/month) Message Service (Answerphone) (1€/month) Before your application will be processed please download, print or scan the Direct Debit mandate. UK Direct Debit Form or French Prelevement Form Please fill the form in carefully and sign it before e-mailing or posting it to us at : enquiries@uktelecom.uk.net or UKTelecom Ltd. William House, 45 Bury Fields, Guildford, GU2 4AZ, United Kingdom I confirm that I am the account holder of this line and accept the terms and conditions * Required ** Default