Order Form

Product Selected : Utility Warehouse Broadband

Thank you for selecting broadband sourced from www.thepowerswitch.com

Please complete all applicable sections below and submit for processing

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Company or trading name

Contact name

Tel no
Fax no
Email

Site address & postcode



Billing address (if different from above)

8mb 1 user @ £22

8mb 1-8 user @ £29

8mb 9-24 user @ £55

Select a tariff above ^
Current contract ends ( if any )

Have you cancelled the contract in writing

Yes No If you don't cancel in writing prior to the minimum notice period your supplier will block your transfer. Please call customer services number on your bill and clarify what action you need to take!

Current supplier (if any )

How did you find us which engine/website etc.

Please note any additional comments here

Should you receive an error message when trying to submit please print this page and fax to 0845 280 1360